Stacy Barker
Individual provider Active NPI Speech-Language Pathologist · Evanston, WY
NPI 1003032285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003032285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-414 (WY)
- Practice address
- 350 City View Drive
Evanston, WY 82930 - Phone
- (307) 789-7384
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-414 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-414 | WY | Yes |
Addresses
Primary practice location
350 City View Drive
Evanston, WY 82930
Mailing address
148 Gregory Ave.
Evanston, WY 82930
Other providers in Evanston, WY
- Auralcare Hearing Centers of America, LLC
- Tamara Sue Bach
- Todd Bader
- Robin Regina Ballina
- Barker Family Health, LLC
- Paul Robert Barnard
- Amanda M Barnes
- Jennifer Gaye Barnes
- Linda E Barnes
- Jared Breck Barton
All providers in Evanston, WY · Speech-Language Pathologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.