Doctor Name: | DR. DUSTAN ALLEN BARABAS |
NPI Number: | 1073715611 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD. |
License Number: | PS016559 |
Business Practice Address: | 912 Main St Suite 304 Stroudsburg, PA - 183601641 |
Business Phone Number: | 5706294900 |
Business Fax Number: | |
Mailing Address: | Po Box 204, TANNERSVILLE |
State: | PA |
Postal Code: | 183720204 |
Phone Number: | 5706294900 |
Fax Number: | 5706889890 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS016559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |