Healthcare Provider Details

I. General information

NPI: 1194136564
Provider Name (Legal Business Name): DAWN MARIE BARBER MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 MICHAELS RD
HENRICO VA
23229
US

IV. Provider business mailing address

536 OLD HOWELL RD.
GREENVILLE SC
29615
US

V. Phone/Fax

Practice location:
  • Phone: 804-915-7022
  • Fax: 804-545-0886
Mailing address:
  • Phone: 877-508-3237
  • Fax: 877-508-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: