Provider Demographics
NPI:1104853761
Name:GREB, BARBARA ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANNE
Last Name:GREB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ANNE
Other - Last Name:PRESTANO, JACARUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2 VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4212
Mailing Address - Country:US
Mailing Address - Phone:631-566-5317
Mailing Address - Fax:610-363-9694
Practice Address - Street 1:407 W LINCOLN HWY STE 50
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-363-1340
Practice Address - Fax:610-363-9694
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006561231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM25082Medicare UPIN