Mary Blakely Barr, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

144.0134277 Issued in VT

Practice address

4 S Park St Apt 2
Lebanon, NH 03766-1476

Phone

(856) 745-1897

NPI assigned

Mar 4, 2022

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1730836248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S PARK ST APT 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661476",
            "telephone_number": "856-745-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S PARK ST APT 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661476",
            "telephone_number": "856-745-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "MARY",
        "middle_name": "BLAKELY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "2165",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Daniel Barnacle
• Amber Elizabeth Barnato, MD, MPH, MS
• Andrew Barnes, PT, DPT
• Sheila R Barnett, M.D.
• Carol L Barr, MSW PHD
• Jonathan Tarinay Barreras
• David Michael Barrett, MD
• Samantha Taylor Barrett, APRN
• Kathleen Barros, PH.D.
• Julia K. Barry, APRN, FNP

• Speech-Language Pathologist in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.