Genevieve Louise Barchak, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014616 Issued in PA

Practice address

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637

Phone

(717) 266-9294

Fax

(717) 384-8071

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1851944185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 N SHERMAN STREET EXT",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479637",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N SHERMAN STREET EXT",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479637",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCHAK",
        "first_name": "GENEVIEVE",
        "middle_name": "LOUISE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Mount Wolf, PA
• Providers in Mount Wolf, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.