Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1063 | OK |
Y | 1041C0700X | Clinical Social Worker | 4716 | OK |
NPI | 1598069031 |
---|---|
Provider Name | Cynthia Ann Barker |
First Address | Oklahoma City, OK 73112-5555 |
Second Address | Oklahoma City, OK 73112-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2010 |
Last Update Date | 30/01/2019 |