Provider Demographics
NPI:1548023377
Name:BARR, SHIEANNA (BA SLP-A)
Entity type:Individual
Prefix:
First Name:SHIEANNA
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:BA SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 KATIE DR
Mailing Address - Street 2:
Mailing Address - City:LATTA
Mailing Address - State:SC
Mailing Address - Zip Code:29565-5336
Mailing Address - Country:US
Mailing Address - Phone:843-468-0244
Mailing Address - Fax:
Practice Address - Street 1:736 JACK RUSSELL CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8356
Practice Address - Country:US
Practice Address - Phone:843-468-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant