MEDICARE: MS. BARBARA LEVINE OFFENBACHER CCC-SLP

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	235Z00000X	Speech-Language Pathologist	3009	NY

General Provider Information

NPI Number	:	1316003643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA LEVINE OFFENBACHER CCC-SLP

Provider Business Mailing Address
First Line	:	19 GIRARD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3007
Country	:	US
Telephone Number	:	718-646-4482
Fax Number	:	718-646-4482

Provider Business Practice Location Address
First Line	:	19 GIRARD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3007
Country	:	US
Telephone Number	:	718-646-4482
Fax Number	:	718-646-4482

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/08/2007

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