Basic Information
Provider Information
NPI: 1366867186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBER
FirstName: BUNNY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.S., CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 90 MADISON ST
Address2: SUITE #105
City: DENVER
State: CO
PostalCode: 802065418
CountryCode: US
TelephoneNumber: 3038322054
FaxNumber: 3033771179
Practice Location
Address1: 90 MADISON ST
Address2: SUITE #105
City: DENVER
State: CO
PostalCode: 802065418
CountryCode: US
TelephoneNumber: 3038322054
FaxNumber: 3033771179
Other Information
ProviderEnumerationDate: 03/03/2014
LastUpdateDate: 03/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X553COY Speech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 

No ID Information.


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