Provider Demographics
NPI:1275885022
Name:BARTON, KIMBERLY CLAIRE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CLAIRE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MERCER ST
Mailing Address - Street 2:APT 611
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1590
Mailing Address - Country:US
Mailing Address - Phone:205-527-4657
Mailing Address - Fax:
Practice Address - Street 1:240 MERCER ST
Practice Address - Street 2:APT 611
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1590
Practice Address - Country:US
Practice Address - Phone:205-527-4657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist