Provider Demographics
NPI:1265737357
Name:YOGEL, BARRY D (HIS)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:D
Last Name:YOGEL
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2234
Mailing Address - Country:US
Mailing Address - Phone:617-922-2121
Mailing Address - Fax:781-449-4443
Practice Address - Street 1:612 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:617-922-2121
Practice Address - Fax:781-449-4443
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA175237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1013452531OtherHIS