MEDICARE: MRS. BARBARA ANN PAUL

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	005302-1	NY

General Provider Information

NPI Number	:	1932481959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA ANN PAUL

Provider Business Mailing Address
First Line	:	126 MAIN ST
Second Line	:
City	:	MOUNT MORRIS
State	:	NY
Zip	:	14510-1504
Country	:	US
Telephone Number	:	585-658-9001
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 MAIN ST
Second Line	:
City	:	MOUNT MORRIS
State	:	NY
Zip	:	14510-1504
Country	:	US
Telephone Number	:	585-658-9001
Fax Number	:

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

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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Directions to “ MRS. BARBARA ANN PAUL ” Practice Location

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