Provider Demographics
NPI:1750402152
Name:MCLENDON, BARBARA J (AUD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1239
Mailing Address - Country:US
Mailing Address - Phone:410-778-5170
Mailing Address - Fax:410-778-6195
Practice Address - Street 1:500 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1239
Practice Address - Country:US
Practice Address - Phone:410-778-5170
Practice Address - Fax:410-778-6195
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD620231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ395OtherFEDERAL BC BS
MD2130571OtherUNITED HEALTHCARE
MD1M67BAOtherMARYLAND BC BS
MD3409241OtherAETNA
MDJ395OtherFEDERAL BC BS