MEDICARE: MS. SANDRA GARCIA-BARRY M.A.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	14377	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407287485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA GARCIA-BARRY M.A.CCC-SLP

Provider Business Mailing Address
First Line	:	941 E FOSTER RD
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-3318
Country	:	US
Telephone Number	:	805-937-2051
Fax Number	:

Provider Business Practice Location Address
First Line	:	941 E FOSTER RD
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-3318
Country	:	US
Telephone Number	:	805-937-2051
Fax Number	:

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

Provider Enumeration Date	:	12/02/2013
Last Update Date	:	12/02/2013

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