Doctor Name: | ELIZABETH BARKER |
NPI Number: | 1033584883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PE1458 |
Business Practice Address: | 322 West Rd Belgrade, ME - 049174111 |
Business Phone Number: | 2072212631 |
Business Fax Number: | |
Mailing Address: | 7 Emanuel Dr, BRUNSWICK |
State: | ME |
Postal Code: | 040112905 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/04/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | PE1458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |