| Doctor Name: | MICAH ROBERT BARKER |
| NPI Number: | 1003071630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1217 E 33rd St Tulsa, OK - 741052017 |
| Business Phone Number: | 9187794556 |
| Business Fax Number: | 9188956917 |
| Mailing Address: | 10306 N 138th East Ave, Suite. 102 OWASSO |
| State: | OK |
| Postal Code: | 740554665 |
| Phone Number: | 9183764200 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2008 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |