Doctor Name: | MRS. CAROLYN J BARD |
NPI Number: | 1184689150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHC |
License Number: | 3070 |
Business Practice Address: | 800 East Ninth Street Sierra Vista Hospital Counseling Center Truth Or Consequences, NM - 87901 |
Business Phone Number: | 5058942111 |
Business Fax Number: | 5058947659 |
Mailing Address: | 800 East Ninth Street, Sierra Vista Hospital Counseling Center TRUTH OR CONSEQUENCES |
State: | NM |
Postal Code: | 87901 |
Phone Number: | 5058942111 |
Fax Number: | 5058947659 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |