Doctor Name: | DR. BARBARA FAYE BUIE |
NPI Number: | 1023395811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D, GC-C, IDD |
License Number: | 136982 |
Business Practice Address: | 2919 Lee Dr Se Bogue Chitto, MS - 396299414 |
Business Phone Number: | 6017541674 |
Business Fax Number: | 6017346737 |
Mailing Address: | 2919 Lee Dr Se, BOGUE CHITTO |
State: | MS |
Postal Code: | 396299414 |
Phone Number: | 6017541674 |
Fax Number: | 6017346737 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 136982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |