Individual
MR. JONATHAN BARSNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6166
Mailing address
8085 PINE COUNTRY LN, FLAGSTAFF, AZ 86004-1215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4734123
AZ
235Z00000X
Speech-Language Pathologist
TSLP9276
AZ
Other
Enumeration date
03/04/2015
Last updated
03/05/2015
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