Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 20040530 | IN |
NPI | 1114916327 |
---|---|
Provider Name | Dr. Alfred Robert Barrow |
First Address | Greenwood, IN 46142-9111 |
Second Address | Greenwood, IN 46143-1912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 08/07/2007 |