Provider Demographics
NPI:1619634011
Name:BARBAREVECH, KRISTIANA (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIANA
Middle Name:
Last Name:BARBAREVECH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CANNON ST UNIT 216
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3262
Mailing Address - Country:US
Mailing Address - Phone:570-650-6528
Mailing Address - Fax:
Practice Address - Street 1:57 CANNON ST UNIT 216
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3262
Practice Address - Country:US
Practice Address - Phone:570-650-6528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist