Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CDCA.179653 | OH |
NPI | 1104579614 |
---|---|
Provider Name | Dr. Loretta J Morris Barr |
First Address | Mount Vernon, OH 43050-9227 |
Second Address | Lima, OH 45805-2729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2022 |
Last Update Date | 03/02/2022 |