Doctor Name: | JULIE A. BARKER-HUBBARD |
NPI Number: | 1184845679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC3940 |
Business Practice Address: | 453 Us Route 1 Kittery, ME - 039045513 |
Business Phone Number: | 2074511750 |
Business Fax Number: | 2074394360 |
Mailing Address: | 78 Atlantic Pl, SOUTH PORTLAND |
State: | ME |
Postal Code: | 041062316 |
Phone Number: | 2078427701 |
Fax Number: | 2078427773 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC3940 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |