Provider Demographics
NPI:1386868842
Name:BARNES, MARTHA L
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LETICIA
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5120 OAK CENTER DR
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-3940
Mailing Address - Country:US
Mailing Address - Phone:708-229-8641
Mailing Address - Fax:708-229-8641
Practice Address - Street 1:5120 OAK CENTER DR
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-3940
Practice Address - Country:US
Practice Address - Phone:708-229-8641
Practice Address - Fax:708-229-8641
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter