Provider Demographics
NPI:1447446513
Name:NORVELL, BARBARA A (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:NORVELL
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:NORVELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUDIOLOGIST
Mailing Address - Street 1:124 E BANDERA RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2849
Mailing Address - Country:US
Mailing Address - Phone:830-331-9886
Mailing Address - Fax:830-331-9557
Practice Address - Street 1:124 E BANDERA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2849
Practice Address - Country:US
Practice Address - Phone:830-331-9886
Practice Address - Fax:830-331-9557
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50789237600000X, 237700000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203271601Medicaid
TX8F21075Medicare PIN