Doctor Name: | BARBARA ANN MAIBERGER |
NPI Number: | 1013090711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC |
License Number: | 2804 |
Business Practice Address: | 3000 Pearl St Suite 207 Boulder, CO - 80301 |
Business Phone Number: | 3038754033 |
Business Fax Number: | |
Mailing Address: | 3000 Pearl St, Suite 207 BOULDER |
State: | CO |
Postal Code: | 80301 |
Phone Number: | 3038754033 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |