Provider Demographics
NPI:1225057052
Name:BARNES, KERRI SEDDON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:SEDDON
Last Name:BARNES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12424 RESEARCH PKWY
Mailing Address - Street 2:SUITE 155
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3249
Mailing Address - Country:US
Mailing Address - Phone:407-249-4770
Mailing Address - Fax:407-249-4774
Practice Address - Street 1:12424 RESEARCH PKWY
Practice Address - Street 2:SUITE 155
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3249
Practice Address - Country:US
Practice Address - Phone:407-249-4770
Practice Address - Fax:407-249-4774
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6158235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist