MEDICARE: MRS. DIXIE BARKAND MS, CCC

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	3274	SC

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	:	1720084189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIXIE BARKAND MS, CCC

Provider Business Mailing Address
First Line	:	2770 MAYBANK HWY
Second Line	:	STE E
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-4857
Country	:	US
Telephone Number	:	843-559-7599
Fax Number	:	843-559-1381

Provider Business Practice Location Address
First Line	:	2770 MAYBANK HWY
Second Line	:	STE E
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-4857
Country	:	US
Telephone Number	:	843-559-7599
Fax Number	:	843-559-1381

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/23/2010

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