MEDICARE: SHARON L BARNETT 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
1	235Z00000X	Speech-Language Pathologist	42	CO

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	:	1861470130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON L BARNETT MS, CCC-SLP

Provider Business Mailing Address
First Line	:	11600 GREEN SPRING RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-9537
Country	:	US
Telephone Number	:	719-650-1033
Fax Number	:	855-420-5895

Provider Business Practice Location Address
First Line	:	11600 GREEN SPRING RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-9537
Country	:	US
Telephone Number	:	719-650-1033
Fax Number	:	855-420-5895

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/20/2015

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