Provider Demographics
NPI:1023091790
Name:BAROWSKI, DEANNA L (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:L
Last Name:BAROWSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:95 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1077
Mailing Address - Country:US
Mailing Address - Phone:618-977-9759
Mailing Address - Fax:888-972-3587
Practice Address - Street 1:95 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1077
Practice Address - Country:US
Practice Address - Phone:618-651-0849
Practice Address - Fax:618-651-0849
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-27
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILDB94530602P222Q00000X
MOSPP109415235Z00000X
IL146004266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist