Provider Demographics
NPI:1962625293
Name:BARNETT, NANETTE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NANETTE
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 STONE BROOK CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-0811
Mailing Address - Country:US
Mailing Address - Phone:405-625-2745
Mailing Address - Fax:405-608-2376
Practice Address - Street 1:3340 STONE BROOK CT
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-0811
Practice Address - Country:US
Practice Address - Phone:405-625-2745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK452235Z00000X
ARSP#1557235Z00000X
OK3376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist