Healthcare Provider Details

I. General information

NPI: 1730309436
Provider Name (Legal Business Name): BARRIANN BAREFOOT ANTHONY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARRIANN BAREFOOT

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14655 BEL-RED ROAD #105
BELLEVUE WA
98007
US

IV. Provider business mailing address

17212 NE 20TH PL
REDMOND WA
98052-6065
US

V. Phone/Fax

Practice location:
  • Phone: 425-614-0378
  • Fax: 425-614-0557
Mailing address:
  • Phone: 425-761-0480
  • Fax: 425-614-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL00003711
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: