NPI 1205457413 · live from the CMS NPI Registry
Jacob T Barber, Au.D.
Audiologist in Poulsbo, WA. National Provider Identifier 1205457413, active.
NPI record
| NPI | 1205457413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 19319 7th Ave Ne Ste 102, Poulsbo, WA 98370 |
| Practice phone | 360-697-3061 |
| Mailing address | 1308 W Sims Way, Port Townsend, WA 98368 |
| Enumerated | April 28, 2020 |
| Last updated | May 18, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | LD61055114 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.