Provider Demographics
NPI:1295998284
Name:BARROWS, AYANNA ALBERTA
Entity type:Individual
Prefix:
First Name:AYANNA
Middle Name:ALBERTA
Last Name:BARROWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-3903
Mailing Address - Country:US
Mailing Address - Phone:410-922-4662
Mailing Address - Fax:
Practice Address - Street 1:3419 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-3903
Practice Address - Country:US
Practice Address - Phone:410-922-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05525235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist