Provider Demographics
NPI:1790046753
Name:BARSTOW, EMILY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BARSTOW
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:BARSTOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:8 S CREEK SIDE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4234
Mailing Address - Country:US
Mailing Address - Phone:405-220-3450
Mailing Address - Fax:405-285-9442
Practice Address - Street 1:8 S CREEK SIDE DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4234
Practice Address - Country:US
Practice Address - Phone:405-220-3450
Practice Address - Fax:405-285-9442
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist