MEDICARE: MRS. KAREN SUE BARRY 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	2007005972	MO

General Provider Information

NPI Number	:	1316292576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN SUE BARRY SLP

Provider Business Mailing Address
First Line	:	14 VALKYRIE RIDE
Second Line	:
City	:	FORISTELL
State	:	MO
Zip	:	63348-1155
Country	:	US
Telephone Number	:	636-614-5747
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 PLAZA CT N
Second Line	:
City	:	SAINT CLAIR
State	:	MO
Zip	:	63077-1129
Country	:	US
Telephone Number	:	636-629-2100
Fax Number	:

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

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	07/13/2012

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Directions to “ MRS. KAREN SUE BARRY SLP” Practice Location

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