Provider Demographics
NPI:1346239720
Name:MCARTHUR, BARBARA (MACCC-A)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:MACCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 E MAIN ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-3114
Mailing Address - Country:US
Mailing Address - Phone:631-207-1119
Mailing Address - Fax:631-207-2293
Practice Address - Street 1:331 E MAIN ST
Practice Address - Street 2:SUITE #1
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3114
Practice Address - Country:US
Practice Address - Phone:631-207-1119
Practice Address - Fax:631-207-2293
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1056-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01332118Medicaid
NYM04421Medicare UPIN
NY01332118Medicaid