Provider Demographics
NPI:1538880406
Name:BARTHOLOMEW, ANNE REBECCA (ST)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:REBECCA
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SIMS CIR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-3055
Mailing Address - Country:US
Mailing Address - Phone:704-771-5610
Mailing Address - Fax:
Practice Address - Street 1:105A CHARLOTTE HWY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-9673
Practice Address - Country:US
Practice Address - Phone:704-771-5610
Practice Address - Fax:828-476-4822
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30001084235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist