Provider Demographics
NPI:1235637166
Name:HASTINGS, BARBARA (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 HOLLY HILL DR
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22923-9509
Mailing Address - Country:US
Mailing Address - Phone:816-225-1858
Mailing Address - Fax:
Practice Address - Street 1:14300 ACHIEVEMENT DR
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-1648
Practice Address - Country:US
Practice Address - Phone:816-225-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist