Provider Demographics
NPI:1376761205
Name:FINNELL, BARBARA ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:FINNELL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5635
Mailing Address - Country:US
Mailing Address - Phone:480-200-2937
Mailing Address - Fax:
Practice Address - Street 1:5402 62 STREET
Practice Address - Street 2:
Practice Address - City:CAMROSE
Practice Address - State:ALBERTA
Practice Address - Zip Code:T4V 4H3
Practice Address - Country:CA
Practice Address - Phone:480-200-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11753235Z00000X
WALL60602539235Z00000X
AZSLP 1507235Z00000X
CASP 10130235Z00000X
MT4998235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ575277OtherACCHS NUMBER