Provider Demographics
NPI:1194785469
Name:FARRINGTON, WINDE BARBER (SLP)
Entity type:Individual
Prefix:
First Name:WINDE
Middle Name:BARBER
Last Name:FARRINGTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S. WEST ST
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39817
Mailing Address - Country:US
Mailing Address - Phone:229-248-2837
Mailing Address - Fax:229-248-2844
Practice Address - Street 1:100 S. WEST ST
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:39817
Practice Address - Country:US
Practice Address - Phone:229-248-2837
Practice Address - Fax:229-248-2844
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP001148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00625809BMedicaid