Provider Demographics
NPI:1720760002
Name:BARTON, PAIGE M (MS CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:M
Last Name:BARTON
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:MISS
Other - First Name:PAIGE
Other - Middle Name:M
Other - Last Name:KNETCHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:408 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1433
Mailing Address - Country:US
Mailing Address - Phone:607-744-2328
Mailing Address - Fax:
Practice Address - Street 1:435 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-1606
Practice Address - Country:US
Practice Address - Phone:607-763-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist