Individual
CHARLES BARASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1628 E HILL RD, PLAINFIELD, VT 05667-9538
(802) 454-7806
Mailing address
1628 E HILL RD, PLAINFIELD, VT 05667-9538
(802) 454-7806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12017224
ASHA CCC-SLP CERTIFICATION
—
Enumeration date
04/04/2011
Last updated
04/04/2011
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