Individual
CHARLES ASHLEY BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP, HIS
Contact information
Practice address
3244 BROOKSIDE RD, SUITE 180, STOCKTON, CA 95219-2381
(209) 951-6491
(209) 951-6497
Mailing address
3244 BROOKSIDE RD, SUITE 180, STOCKTON, CA 95219-2381
(209) 951-6491
(209) 951-6497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP 23067
CA
237700000X
Hearing Instrument Specialist
Primary
HA 8181
CA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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