| Doctor Name: | DR. BARBARA TERRY KREEDMAN |
| NPI Number: | 1013057132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | LCSW, LCS 6133 |
| Business Practice Address: | 73725 El Paseo Suite 23-d Palm Desert, CA - 922604311 |
| Business Phone Number: | 7603401114 |
| Business Fax Number: | 7603284261 |
| Mailing Address: | 73725 El Paseo, Suite 23-d PALM DESERT |
| State: | CA |
| Postal Code: | 922604311 |
| Phone Number: | 7603401114 |
| Fax Number: | 7603284261 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW, LCS 6133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |