Provider Demographics
NPI:1316264799
Name:BARBARA E. ANSLOW-MYERS, LLC
Entity type:Organization
Organization Name:BARBARA E. ANSLOW-MYERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:ANSLOW-MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/SLP
Authorized Official - Phone:803-619-4075
Mailing Address - Street 1:530 LITTLE COVE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WYLIE
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8107
Mailing Address - Country:US
Mailing Address - Phone:803-619-4075
Mailing Address - Fax:803-675-0920
Practice Address - Street 1:530 LITTLE COVE LN
Practice Address - Street 2:
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-8107
Practice Address - Country:US
Practice Address - Phone:518-368-5816
Practice Address - Fax:803-675-0920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4314235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty