Most Relevant Information
Provider Data
NPI Number: | 1003032285 |
Provider Name: | STACY BARKER |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | SP-414 |
Most Important Dates
Enumeration Date: | 04/17/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
350 CITY VIEW DRIVE
EVANSTON
WY
82930
Practice Location Phone/Fax
Phone: | 3077897384 |
Fax: |
Provider Mailing Location
148 GREGORY AVE.
EVANSTON
WY
82930
Provider Mailing Phone/Fax
Phone: | |
Fax: |