MEDICARE: EMILY BARNETT

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	114713	TX

General Provider Information

NPI Number	:	1487382487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BARNETT

Provider Business Mailing Address
First Line	:	2702 SILVER CREEK TRL
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-7473
Country	:	US
Telephone Number	:	903-285-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 SILVER CREEK TRL
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-7473
Country	:	US
Telephone Number	:	903-285-5323
Fax Number	:

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

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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Directions to “ EMILY BARNETT ” Practice Location

Language	Start Address	Practice Location

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