NPI 1245692045 · live from the CMS NPI Registry
Mary Grace Barta, MS, CCC-SLP
Speech-Language Pathologist, in Independence, OR. National Provider Identifier 1245692045, active.
NPI record
| NPI | 1245692045 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 889 Morning Glory Dr, Independence, OR 97351 |
| Practice phone | 971-208-3113 |
| Enumerated | March 22, 2016 |
| Last updated | October 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 016443 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.