Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1360 | NC |
N | 103T00000X | Psychologist | 1360 | NC |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TA0700X | Adult Development & Aging Psychologist | 1360 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1306930987 |
---|---|
Provider Name | Dr. Ann Louise Barrick |
First Address | Butner, NC 27509 |
Second Address | Butner, NC 27509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |