Provider Demographics
NPI:1023847530
Name:DRAKE ALLEN, BARBARA NELL (MED CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:NELL
Last Name:DRAKE ALLEN
Suffix:
Gender:F
Credentials:MED CCC/SLP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:NELL
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED CCC/SLP
Mailing Address - Street 1:711 HANGING STAR LANE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633
Mailing Address - Country:US
Mailing Address - Phone:512-785-4417
Mailing Address - Fax:
Practice Address - Street 1:711 HANGING STAR LANE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633
Practice Address - Country:US
Practice Address - Phone:512-785-4417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13253235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty