Provider Demographics
NPI:1366761306
Name:VARNEY, BARBARA CONWAY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:CONWAY
Last Name:VARNEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:C
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:295 ASHBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1703
Mailing Address - Country:US
Mailing Address - Phone:585-694-6999
Mailing Address - Fax:
Practice Address - Street 1:295 ASHBOURNE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1703
Practice Address - Country:US
Practice Address - Phone:585-694-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019672-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist