Shannon Barbariantz
Individual provider Active NPI Speech-Language Pathologist · Florida, NY
NPI 1386009595 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1386009595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 026410-1 (NY)
- Practice address
- 111 Country Club Dr
Florida, NY 10921-1554 - Phone
- (845) 321-5495
- NPI assigned
- Dec 15, 2015
- 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 |
|---|---|---|---|
| 026410-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026410-1 | NY | Yes |
Addresses
Primary practice location
111 Country Club Dr
Florida, NY 10921-1554
Mailing address
111 Country Club Dr
Florida, NY 10921-1554
Phone (845) 321-5495
Other providers in Florida, NY
- Janet K Acker
- Victoria Avidano
- Alison Beattie
- Jennifer Beitz
- Beth Anne McLean Counseling
- Katerina Bremer
- Camille Angela Brygidyr
All providers in Florida, 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 Jan 24, 2022. 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.