Provider Demographics
NPI:1194320366
Name:BARLOW, ELIZABETH (SP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 PARKWAY OFFICE CIR STE 150
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2920
Mailing Address - Country:US
Mailing Address - Phone:205-364-2347
Mailing Address - Fax:
Practice Address - Street 1:2111 PARKWAY OFFICE CIR STE 150
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2920
Practice Address - Country:US
Practice Address - Phone:205-364-2347
Practice Address - Fax:205-364-2341
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1705235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist