Provider Demographics
NPI:1447678370
Name:BARKER, TERESA FRANCINE (SLP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:FRANCINE
Last Name:BARKER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 BLAZER PT
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-6877
Mailing Address - Country:US
Mailing Address - Phone:865-809-3235
Mailing Address - Fax:
Practice Address - Street 1:1128 BLAZER PT
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-6877
Practice Address - Country:US
Practice Address - Phone:865-809-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3119235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist