Provider Demographics
NPI:1093963746
Name:BARRINGER, REBECCA SUE (DT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SUE
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 LICK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BUNCOMBE
Mailing Address - State:IL
Mailing Address - Zip Code:62912-3237
Mailing Address - Country:US
Mailing Address - Phone:618-697-3372
Mailing Address - Fax:618-776-5122
Practice Address - Street 1:10500 LICK CREEK RD
Practice Address - Street 2:
Practice Address - City:BUNCOMBE
Practice Address - State:IL
Practice Address - Zip Code:62912-3237
Practice Address - Country:US
Practice Address - Phone:618-697-3372
Practice Address - Fax:618-776-5122
Is Sole Proprietor?:No
Enumeration Date:2008-09-07
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist