Provider Demographics
NPI:1083600100
Name:BARNDT, DEBORAH L (PA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BARNDT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:SHANER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2403 EAST THIRD ST.
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701
Mailing Address - Country:US
Mailing Address - Phone:570-601-2200
Mailing Address - Fax:570-601-2202
Practice Address - Street 1:2403 EAST THIRD STREET
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701
Practice Address - Country:US
Practice Address - Phone:570-601-2200
Practice Address - Fax:570-601-2202
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051481208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics