Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PS1499 | ME |
N | 103TC0700X | Clinical Psychologist | PS1499 | ME |
Y | 103TS0200X | School Psychologist | PS1499 | ME |
NPI | 1033584883 |
---|---|
Provider Name | Elizabeth Barker |
First Address | Brunswick, ME 04011-9370 |
Second Address | Portland, ME 04102-2169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2015 |
Last Update Date | 04/06/2021 |