Provider Demographics
NPI:1043958291
Name:BARNES, PAMELA (HAD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:VT
Mailing Address - Zip Code:05062-0236
Mailing Address - Country:US
Mailing Address - Phone:802-236-8263
Mailing Address - Fax:
Practice Address - Street 1:140 NIAGARA STREET
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:VT
Practice Address - Zip Code:05062
Practice Address - Country:US
Practice Address - Phone:802-236-8263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT063.0134051237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist