Provider Demographics
NPI:1841489457
Name:BARTLING, VICTORIA RUTH (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RUTH
Last Name:BARTLING
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 WESTMORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-3440
Mailing Address - Country:US
Mailing Address - Phone:215-460-8272
Mailing Address - Fax:
Practice Address - Street 1:1001 JAMES ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2789
Practice Address - Country:US
Practice Address - Phone:315-552-9859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000562-L231H00000X
DE02-0000142231H00000X
NY002579231H00000X
DE03-0000215237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter