Doctor Name: | DR. LARRY BARKER |
NPI Number: | 1003040304 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2322 |
Business Practice Address: | 122 Cardiff St Columbia, SC - 292092005 |
Business Phone Number: | 8034475585 |
Business Fax Number: | |
Mailing Address: | 122 Cardiff St, COLUMBIA |
State: | SC |
Postal Code: | 292092005 |
Phone Number: | 8034475585 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |