Provider Demographics
NPI:1811498256
Name:BARRON, VALERIE ROSS (MED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ROSS
Last Name:BARRON
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75633-1323
Mailing Address - Country:US
Mailing Address - Phone:903-658-4763
Mailing Address - Fax:
Practice Address - Street 1:806 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633-1323
Practice Address - Country:US
Practice Address - Phone:903-658-4763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15921235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty