Provider Demographics
NPI:1821242306
Name:O'ROURKE, BARBARA MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:MARIE
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 NORTH ROAD
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-431-8803
Mailing Address - Fax:845-483-5688
Practice Address - Street 1:184 MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:NY
Practice Address - Zip Code:12531-5006
Practice Address - Country:US
Practice Address - Phone:845-222-8589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007357-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist