Provider Demographics
NPI:1093156135
Name:BARRENECHE, LINA MARIA (IHS)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:MARIA
Last Name:BARRENECHE
Suffix:
Gender:F
Credentials:IHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 SONIA TRL
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3573
Mailing Address - Country:US
Mailing Address - Phone:301-367-8807
Mailing Address - Fax:
Practice Address - Street 1:3310 SONIA TRL APT 101
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3580
Practice Address - Country:US
Practice Address - Phone:301-367-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02510237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist