Diana L Barber
Individual provider Active NPI Speech-Language Pathologist · Medina, NY
NPI 1053568840 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1053568840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 005225-1 (NY)
- Practice address
- 4413 E Shelby Rd
Medina, NY 14103-9787 - Phone
- (585) 798-1243
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 005225-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005225-1 | NY | Yes |
Addresses
Primary practice location
4413 E Shelby Rd
Medina, NY 14103-9787
Mailing address
4413 E Shelby Rd
Medina, NY 14103-9787
Phone (585) 798-1243
Other providers in Medina, NY
- Sallah U Abbasey
- Nagui Emile Adeeb
- Nancy Ann Arbeiter
- Julia M Avery
- Laurie Campbell Barney
- Surinder S. Bath
- Chelsie Ann Bax
- Kimberly Bellan
- Alan R Bilicki
All providers in Medina, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. 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.