Basic Information
| Provider Information | |||||||||
| NPI: | 1154650208 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNHART | ||||||||
| FirstName: | TEEJAY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5328 W 95TH ST | ||||||||
| Address2: | |||||||||
| City: | PRAIRIE VILLAGE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662073204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136421234 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10570 SE WASHINGTON ST STE 210 | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972162846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032576800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2009 | ||||||||
| LastUpdateDate: | 12/21/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | T1464 | KS | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.