Provider Demographics
NPI:1871741447
Name:QUINLAN, BARBARA ANN (MS/SLP-CCC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:MS/SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1503
Mailing Address - Street 2:195 NW CHERRY ST.
Mailing Address - City:WHITE SALMON
Mailing Address - State:WA
Mailing Address - Zip Code:98672-1503
Mailing Address - Country:US
Mailing Address - Phone:702-715-9662
Mailing Address - Fax:
Practice Address - Street 1:195 CHERRY ST.
Practice Address - Street 2:
Practice Address - City:WHITE SALMON
Practice Address - State:WA
Practice Address - Zip Code:98672
Practice Address - Country:US
Practice Address - Phone:702-715-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist