Provider Demographics
NPI:1720854078
Name:BOOTON, BARBARA LYNNE (MA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNNE
Last Name:BOOTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 S NARCISSUS WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1235
Mailing Address - Country:US
Mailing Address - Phone:720-312-0106
Mailing Address - Fax:
Practice Address - Street 1:15701 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9060
Practice Address - Country:US
Practice Address - Phone:303-340-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01042487235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist