Provider Demographics
NPI:1104853761
Name:GREB, BARBARA ANNE (AUD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANNE
Last Name:GREB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ANNE
Other - Last Name:PRESTANO, JACARUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:104 SHALLOWFORD WAY
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-9192
Mailing Address - Country:US
Mailing Address - Phone:631-566-5317
Mailing Address - Fax:864-888-3838
Practice Address - Street 1:11092 N RADIO STATION RD
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1142
Practice Address - Country:US
Practice Address - Phone:864-888-8865
Practice Address - Fax:864-888-3838
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4115231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM25082Medicare UPIN