Provider Demographics
NPI:1336343128
Name:EARLEY, BARBARA (MED CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:EARLEY
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5174 MCGINNIS FERRY RD STE 169
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1792
Mailing Address - Country:US
Mailing Address - Phone:404-702-1952
Mailing Address - Fax:
Practice Address - Street 1:46031 GARDNER DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-8618
Practice Address - Country:US
Practice Address - Phone:404-702-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist