Provider Demographics
NPI:1659047793
Name:BARNHART, BLAIRE (AUD)
Entity Type:Individual
Prefix:DR
First Name:BLAIRE
Middle Name:
Last Name:BARNHART
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 1:4010 FOUNTAIN VALLEY DR STE 5
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5336
Mailing Address - Country:US
Mailing Address - Phone:865-377-4980
Mailing Address - Fax:
Practice Address - Street 1:4010 FOUNTAIN VALLEY DR STE 5
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5336
Practice Address - Country:US
Practice Address - Phone:865-377-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002063231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist