Provider Demographics
NPI:1225466501
Name:BAARTMAN, SHARYCE MARIE (AUD)
Entity Type:Individual
Prefix:
First Name:SHARYCE
Middle Name:MARIE
Last Name:BAARTMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 E COLLEGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2089
Mailing Address - Country:US
Mailing Address - Phone:507-532-2687
Mailing Address - Fax:
Practice Address - Street 1:1424 E COLLEGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2089
Practice Address - Country:US
Practice Address - Phone:507-532-2687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7246231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist