Provider Demographics
NPI:1396515334
Name:BARENTINE, KARYN EMILY (MS ED CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:EMILY
Last Name:BARENTINE
Suffix:
Gender:F
Credentials:MS ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 NW REDWING DR
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-9284
Mailing Address - Country:US
Mailing Address - Phone:860-949-4457
Mailing Address - Fax:
Practice Address - Street 1:1062 NW REDWING DR
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-9284
Practice Address - Country:US
Practice Address - Phone:860-949-4457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61476718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist