Individual
BARBARA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC
Contact information
Practice address
411 THEODORE FREMD AVE, RYE CITY SCHOOL DISTRICT, RYE, NY 10580
(914) 967-6100
Mailing address
50 BEECHWOOD RD, HARTSDALE, NY 10530-1662
(914) 428-2193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58001466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01384101
—
NY
Enumeration date
11/01/2011
Last updated
11/01/2011
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