Provider Demographics
NPI:1891811121
Name:BARTLEY-, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BARTLEY-
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 1:5 FORREST LAWN CT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-3025
Mailing Address - Country:US
Mailing Address - Phone:610-621-4542
Mailing Address - Fax:
Practice Address - Street 1:5 FORREST LAWN CT
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3025
Practice Address - Country:US
Practice Address - Phone:610-621-4542
Practice Address - Fax:610-621-4539
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008248235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist