Provider Demographics
NPI:1972909943
Name:BARKELL, NANCY L (SLP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:BARKELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 HECLA ST
Mailing Address - Street 2:
Mailing Address - City:LAURIUM
Mailing Address - State:MI
Mailing Address - Zip Code:49913-2128
Mailing Address - Country:US
Mailing Address - Phone:906-337-7000
Mailing Address - Fax:906-337-4772
Practice Address - Street 1:342 HECLA ST
Practice Address - Street 2:
Practice Address - City:LAURIUM
Practice Address - State:MI
Practice Address - Zip Code:49913-2128
Practice Address - Country:US
Practice Address - Phone:906-337-7000
Practice Address - Fax:906-337-4772
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101004309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7101004309OtherSTATE LICENSE NUMBER