Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4342 | OH |
N | 103T00000X | Psychologist | 4342 | OH |
N | 103G00000X | Clinical Psychologist | 4342 | OH |
N | 103TC0700X | Clinical Psychologist | 4342 | OH |
N | 103TC1900X | Counseling Psychologist | 4342 | OH |
NPI | 1003881707 |
---|---|
Provider Name | Dr. Sara Barber |
First Address | Orrville, OH 44667-1714 |
Second Address | Orrville, OH 44667-1766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2049072 | (05) | OH |