| Doctor Name: | MS. BARBARA SHOUP ANDERSON |
| NPI Number: | 1316396849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LAC, NCC |
| License Number: | 98111026 |
| Business Practice Address: | 110 W Missouri Ave Pierre, SD - 575014506 |
| Business Phone Number: | 6052223841 |
| Business Fax Number: | 6057348070 |
| Mailing Address: | Po Box 128, FORT PIERRE |
| State: | SD |
| Postal Code: | 575320128 |
| Phone Number: | 6052239716 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 98111026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |