Provider Demographics
NPI:1639220106
Name:GIFFORD, BARBARA LYNN (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:GIFFORD
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:967 AUGUSTA CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7721
Mailing Address - Country:US
Mailing Address - Phone:859-866-1950
Mailing Address - Fax:859-384-1289
Practice Address - Street 1:967 AUGUSTA CT
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-7721
Practice Address - Country:US
Practice Address - Phone:859-866-1950
Practice Address - Fax:859-384-1289
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0488235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist