Individual
ANGELA RACHELLE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
11 HUNT CLUB PLZ STE 102, RIDGELEY, WV 26753-5213
(304) 738-2366
(304) 738-2210
Mailing address
11 HUNT CLUB PLZ STE 102, RIDGELEY, WV 26753-5213
(304) 738-2366
(304) 738-2210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
05102
MD
235Z00000X
Speech-Language Pathologist
2202004847
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP-0979
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001840673
SPEECH THERAPY
WV
01
—
11ZT AR
SPEECH THERAPY
MD
01
—
2609907
SPEECH THERAPY
WV
05
—
3810005993
—
WV
05
—
410592300
—
MD
Enumeration date
09/25/2006
Last updated
08/13/2021
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