Provider Demographics
NPI:1386701183
Name:FIKE, BARBARA LYNN (MA)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNN
Last Name:FIKE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:CUTTLER
Other - Last Name:FIKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:500 LEWIS RUN RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15122
Mailing Address - Country:US
Mailing Address - Phone:412-466-0101
Mailing Address - Fax:412-466-0642
Practice Address - Street 1:500 LEWIS RUN RD
Practice Address - Street 2:SUITE 114
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122
Practice Address - Country:US
Practice Address - Phone:412-466-0101
Practice Address - Fax:412-466-0642
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000244L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
071680G2DOtherGROUP MEMBER PTAN
PA202572OtherBLUE CROSS SHIELD
071680G2DOtherGROUP MEMBER PTAN
PA405567Medicare PIN
PA071680RX4Medicare ID - Type Unspecified