Wellformed AI

NPI 1366057408 · live from the CMS NPI Registry

Dominique Barrett, M.S., CCC-SLP, IBCLC

Speech-Language Pathologist, in Washington, DC. National Provider Identifier 1366057408, active.

NPI record

NPI1366057408 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1020 19th St Nw Ste 150, Washington, DC 20036
Practice phone817-896-9587
Mailing address6601 Melville St Apt 319, Hyattsville, MD 20782
EnumeratedSeptember 15, 2020
Last updatedOctober 13, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Lactation Consultant, Non-RN174N00000XL-307568
Speech-Language Pathologist, primary235Z00000X09819 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.