MEDICARE: BARBARA BARBARO M.S., 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	SA 6713	FL

General Provider Information

NPI Number	:	1902952443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA BARBARO M.S., CCC

Provider Business Mailing Address
First Line	:	104 2ND ST
Second Line	:
City	:	BELLEAIR BEACH
State	:	FL
Zip	:	33786-3209
Country	:	US
Telephone Number	:	727-698-9579
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 2ND ST
Second Line	:
City	:	BELLEAIR BEACH
State	:	FL
Zip	:	33786-3209
Country	:	US
Telephone Number	:	727-698-9579
Fax Number	:

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	09/30/2016

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