Provider Demographics
NPI:1588722664
Name:ROWE, BARBARA E (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:ROWE
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOODS MILL RD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9122
Mailing Address - Country:US
Mailing Address - Phone:919-738-9641
Mailing Address - Fax:919-778-8867
Practice Address - Street 1:100 WOODS MILL RD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9122
Practice Address - Country:US
Practice Address - Phone:919-738-9641
Practice Address - Fax:919-778-8867
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1179235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411741Medicaid