Provider Demographics
NPI:1194262303
Name:BARROWS, MARLINE
Entity type:Individual
Prefix:
First Name:MARLINE
Middle Name:
Last Name:BARROWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19083 BEAR VALLEY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-2719
Mailing Address - Country:US
Mailing Address - Phone:760-240-5700
Mailing Address - Fax:760-240-7900
Practice Address - Street 1:1408 INDUSTRIAL PARK AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4517
Practice Address - Country:US
Practice Address - Phone:909-247-1120
Practice Address - Fax:909-635-6624
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7628237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist