Provider Demographics
NPI:1326373259
Name:MCNAMARA, BARBARA IMPERATORE
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:IMPERATORE
Last Name:MCNAMARA
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 1:115 W GRAVERS LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3805
Mailing Address - Country:US
Mailing Address - Phone:215-247-6540
Mailing Address - Fax:
Practice Address - Street 1:1346 E PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2408
Practice Address - Country:US
Practice Address - Phone:215-237-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist