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NPI Code Detail

MEDICARE: JENNIFER BARKER MS CCC-SLP

MEDICARE: JENNIFER BARKER MS 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
1235Z00000XSpeech-Language Pathologist04849MD

General Provider Information

NPI Number : 1538281639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BARKER MS CCC-SLP
Provider Business Mailing Address
First Line : 50 STONE PARK PL
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11630 GLEN ARM RD
Second Line :
City : GLEN ARM
State : MD
Zip : 21057-9403
Country : US
Telephone Number : 410-592-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ JENNIFER BARKER MS CCC-SLP” Practice Location

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