Provider Demographics
NPI:1457086134
Name:BARNES, SARAH (CCC-SPL, MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:CCC-SPL, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39807 GOLDEN ROD RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7338
Mailing Address - Country:US
Mailing Address - Phone:619-342-6727
Mailing Address - Fax:
Practice Address - Street 1:39807 GOLDEN ROD RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-7338
Practice Address - Country:US
Practice Address - Phone:619-342-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist