Provider Demographics
NPI:1760514061
Name:BARTH, CRAIG T (MA, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:T
Last Name:BARTH
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 SOUTH ST STE 1
Mailing Address - Street 2:P.O. BOX 427
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07963-0427
Mailing Address - Country:US
Mailing Address - Phone:973-539-2111
Mailing Address - Fax:973-539-0511
Practice Address - Street 1:230 SOUTH ST STE 1
Practice Address - Street 2:BLAIR HOUSE
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7700
Practice Address - Country:US
Practice Address - Phone:973-539-2111
Practice Address - Fax:973-539-0511
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00011300231H00000X
NJ25MG00053200237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0270504Medicaid
NJBA205780Medicare ID - Type UnspecifiedAUDIOLOGIST