Provider Demographics
NPI:1740405992
Name:BARCAL, NANCY K (MA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:BARCAL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N SUNRISE AVE STE 813
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2928
Mailing Address - Country:US
Mailing Address - Phone:916-797-3307
Mailing Address - Fax:916-797-3307
Practice Address - Street 1:151 N SUNRISE AVE STE 813
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2928
Practice Address - Country:US
Practice Address - Phone:916-797-3307
Practice Address - Fax:916-797-3307
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4467235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist