Provider Demographics
NPI:1700387990
Name:BARNHART, HEATHER (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BARNHART
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 1:6240 OAK PARK CT
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0111
Mailing Address - Country:US
Mailing Address - Phone:916-382-2816
Mailing Address - Fax:833-301-0299
Practice Address - Street 1:6240 OAK PARK CT
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0111
Practice Address - Country:US
Practice Address - Phone:916-382-2816
Practice Address - Fax:833-301-0299
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP25375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist