Healthcare Provider Details

I. General information

NPI: 1417864273
Provider Name (Legal Business Name): LAQUANDA BARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 CURLEW CT, ROCK HILL, SC, USA
ROCK HILL SC
29732
US

IV. Provider business mailing address

1532 CURLEW CT, ROCK HILL, SC, USA
ROCK HILL SC
29732
US

V. Phone/Fax

Practice location:
  • Phone: 843-584-5942
  • Fax:
Mailing address:
  • Phone: 843-584-5942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9659
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: