MEDICARE: MS. CYNTHIA A BARGER-FENTON 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	841	OK

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417920935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA A BARGER-FENTON M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	4200 CHERRYSTONE RD
Second Line	:
City	:	CHOCTAW
State	:	OK
Zip	:	73020-5962
Country	:	US
Telephone Number	:	405-391-7568
Fax Number	:	405-391-6035

Provider Business Practice Location Address
First Line	:	5509 MAIN STREET
Second Line	:	SUITE 104
City	:	DEL CITY
State	:	OK
Zip	:	73115
Country	:	US
Telephone Number	:	405-245-7376
Fax Number	:	405-391-6035

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	06/28/2013

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Directions to “ MS. CYNTHIA A BARGER-FENTON M.A., CCC-SLP” Practice Location

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