Provider Demographics
NPI:1316254667
Name:FOPPES, BARBARA P (CCCSLP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:P
Last Name:FOPPES
Suffix:
Gender:F
Credentials:CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 PECKVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-4001
Mailing Address - Country:US
Mailing Address - Phone:315-853-2583
Mailing Address - Fax:
Practice Address - Street 1:1151 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-3372
Practice Address - Country:US
Practice Address - Phone:315-792-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005363-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist