Provider Demographics
NPI:1740473339
Name:BARLOW, ANNE (AUD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HUSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29275 NORTHWESTERN HWY STE 208
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-5744
Mailing Address - Country:US
Mailing Address - Phone:248-356-7772
Mailing Address - Fax:586-558-7479
Practice Address - Street 1:29275 NORTHWESTERN HWY STE 208
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5744
Practice Address - Country:US
Practice Address - Phone:248-356-7772
Practice Address - Fax:586-558-7479
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000331237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI640E026160OtherBCBSM