MEDICARE: DR. BARBARA THORNBERRY AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	A-0954	OH

General Provider Information

NPI Number	:	1184627010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA THORNBERRY AU.D.

Provider Business Mailing Address
First Line	:	PO BOX 645409
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15264-5252
Country	:	US
Telephone Number	:	330-386-6442
Fax Number	:	330-386-3660

Provider Business Practice Location Address
First Line	:	330 N MARKET ST STE B
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-1146
Country	:	US
Telephone Number	:	330-870-4601
Fax Number	:	330-870-4189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/06/2022

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