Provider Demographics
NPI:1477794469
Name:WALTERS, BARBARA J
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:WALTERS
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 1:4350 S KESSLER FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45383-9703
Mailing Address - Country:US
Mailing Address - Phone:937-698-3104
Mailing Address - Fax:937-208-4515
Practice Address - Street 1:4350 S KESSLER FREDERICK RD
Practice Address - Street 2:
Practice Address - City:WEST MILTON
Practice Address - State:OH
Practice Address - Zip Code:45383-9703
Practice Address - Country:US
Practice Address - Phone:937-698-3104
Practice Address - Fax:937-208-4515
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist