Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 2510 | NE |
NPI | 1114683042 |
---|---|
Provider Name | Devon Barbieri |
First Address | Colorado Springs, CO 80903-4538 |
Second Address | Colorado Springs, CO 80913-4613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2021 |
Last Update Date | 15/11/2021 |