Provider Demographics
NPI:1861470130
Name:BARNETT, SHARON L (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 GREEN SPRING RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-9537
Mailing Address - Country:US
Mailing Address - Phone:719-650-1033
Mailing Address - Fax:855-420-5895
Practice Address - Street 1:11600 GREEN SPRING RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-9537
Practice Address - Country:US
Practice Address - Phone:719-650-1033
Practice Address - Fax:855-420-5895
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53602544Medicaid