Provider Demographics
NPI:1013676220
Name:GUPTON, BARBARA ROMAINE (SPEECH LANGUAGE PATH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ROMAINE
Last Name:GUPTON
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 MATTERHORN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-1523
Mailing Address - Country:US
Mailing Address - Phone:469-752-3072
Mailing Address - Fax:
Practice Address - Street 1:3600 MATTERHORN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-1523
Practice Address - Country:US
Practice Address - Phone:469-752-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15483235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist