Provider Demographics
NPI:1124410337
Name:OH, BARBARA
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 GRISWOLD ST
Mailing Address - Street 2:#5
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1996
Mailing Address - Country:US
Mailing Address - Phone:213-507-4232
Mailing Address - Fax:
Practice Address - Street 1:3840 WOODRUFF AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2143
Practice Address - Country:US
Practice Address - Phone:562-354-6043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17737235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist