Provider Demographics
NPI:1659629962
Name:BARBUR, AMANDA (AUD)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:BARBUR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:KLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1701 MENTOR AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PAINESVILLE TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077
Mailing Address - Country:US
Mailing Address - Phone:440-357-4327
Mailing Address - Fax:440-357-4328
Practice Address - Street 1:1701 MENTOR AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PAINESVILLE TWP
Practice Address - State:OH
Practice Address - Zip Code:44077
Practice Address - Country:US
Practice Address - Phone:440-357-4327
Practice Address - Fax:440-357-4328
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01821231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
H324760Medicare PIN