Provider Demographics
NPI:1922569706
Name:BARNHART, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BARNHART
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 1:41 WEST ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-3036
Mailing Address - Country:US
Mailing Address - Phone:860-870-5997
Mailing Address - Fax:860-870-5170
Practice Address - Street 1:41 WEST ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-3036
Practice Address - Country:US
Practice Address - Phone:860-870-5997
Practice Address - Fax:860-870-5170
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist