Provider Demographics
NPI:1942450085
Name:BARNES, CHARLA
Entity Type:Individual
Prefix:
First Name:CHARLA
Middle Name:
Last Name:BARNES
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 1:209 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-2427
Mailing Address - Country:US
Mailing Address - Phone:573-701-1370
Mailing Address - Fax:573-701-1370
Practice Address - Street 1:209 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-2427
Practice Address - Country:US
Practice Address - Phone:573-701-1370
Practice Address - Fax:573-701-1370
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist