Doctor Name: | DEBRA J LOBATO-BARRERA |
NPI Number: | 1003892712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS00283 |
Business Practice Address: | 1 Hoppin St Suite 204 Providence, RI - 029034141 |
Business Phone Number: | 4014448945 |
Business Fax Number: | 4014448742 |
Mailing Address: | 593 Eddy St, Apc 978 PROVIDENCE |
State: | RI |
Postal Code: | 029034923 |
Phone Number: | 4014444318 |
Fax Number: | 4014447865 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS00283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |