Provider Demographics
NPI:1730309436
Name:ANTHONY, BARRIANN BAREFOOT (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARRIANN
Middle Name:BAREFOOT
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:BARRIANN
Other - Middle Name:
Other - Last Name:BAREFOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17212 NE 20TH PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6065
Mailing Address - Country:US
Mailing Address - Phone:425-761-0480
Mailing Address - Fax:425-614-0557
Practice Address - Street 1:14655 BEL-RED ROAD
Practice Address - Street 2:#105
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007
Practice Address - Country:US
Practice Address - Phone:425-614-0378
Practice Address - Fax:425-614-0557
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003711235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist