Provider Demographics
NPI:1659001105
Name:BARBER, LYDIA (AUD)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:BARBER
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 1:1002 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-1535
Mailing Address - Country:US
Mailing Address - Phone:301-922-2667
Mailing Address - Fax:
Practice Address - Street 1:1800 BROADWAY ST STE 5
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2044
Practice Address - Country:US
Practice Address - Phone:650-229-2977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist