Provider Demographics
NPI:1023278579
Name:CAPPS, BARBARA W (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:W
Last Name:CAPPS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 WOODLAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-2509
Mailing Address - Country:US
Mailing Address - Phone:870-216-2222
Mailing Address - Fax:870-216-2222
Practice Address - Street 1:601 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-6002
Practice Address - Country:US
Practice Address - Phone:870-722-2740
Practice Address - Fax:870-722-2765
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist