Provider Demographics
NPI:1972604551
Name:KEARNS, BARBARA A (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:KEARNS
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WEST PARSONS COURT
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733
Mailing Address - Country:US
Mailing Address - Phone:631-751-6181
Mailing Address - Fax:
Practice Address - Street 1:225 RABRO DR
Practice Address - Street 2:SUFFOLK CTY DEPT OF HEALTH SERVICES
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-853-3013
Practice Address - Fax:631-853-3031
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000328231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P54658Medicare UPIN
M71371Medicare ID - Type Unspecified