Provider Demographics
NPI:1881225811
Name:DRAVIS, BARBARA ANNE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:DRAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10540 SERRA VISTA PT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-8114
Mailing Address - Country:US
Mailing Address - Phone:317-319-5493
Mailing Address - Fax:
Practice Address - Street 1:7440 HAGUE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1930
Practice Address - Country:US
Practice Address - Phone:317-762-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist