Provider Demographics
NPI:1295066298
Name:BARLOW, BETH DARGER (HAD)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:DARGER
Last Name:BARLOW
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 NORTH HILDALE STREET
Mailing Address - Street 2:#459
Mailing Address - City:HILDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84784-0459
Mailing Address - Country:US
Mailing Address - Phone:435-874-2217
Mailing Address - Fax:435-874-7807
Practice Address - Street 1:20 SOUTH COLVIN STREET
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:AZ
Practice Address - Zip Code:86021-0459
Practice Address - Country:US
Practice Address - Phone:435-874-2217
Practice Address - Fax:435-874-7807
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5916237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist