Provider Demographics
NPI:1649578758
Name:BARROW, LATOYA TIONE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:TIONE
Last Name:BARROW
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 BOTTESFORD DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7129
Mailing Address - Country:US
Mailing Address - Phone:225-202-4386
Mailing Address - Fax:
Practice Address - Street 1:457 BOTTESFORD DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7129
Practice Address - Country:US
Practice Address - Phone:225-202-4386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist