Provider Demographics
NPI:1609383157
Name:BARNES, DEBORAH L (WV LICENSED HEARING)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:WV LICENSED HEARING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241
Mailing Address - Country:US
Mailing Address - Phone:304-636-5146
Mailing Address - Fax:304-636-5217
Practice Address - Street 1:719 FAIRMONT AVE
Practice Address - Street 2:STE 203
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:304-366-7314
Practice Address - Fax:304-636-5217
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV520237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist