Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH5436 | FL |
NPI | 1003037144 |
---|---|
Provider Name | Mr. Richard Leigh Barr |
First Address | Homestead, FL 33034-7601 |
Second Address | Miami, FL 33186-1514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |