Provider Demographics
NPI:1033161658
Name:BRIGGS, BARBARA (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3930
Mailing Address - Country:US
Mailing Address - Phone:302-295-0447
Mailing Address - Fax:
Practice Address - Street 1:1073 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3930
Practice Address - Country:US
Practice Address - Phone:302-295-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO767103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800117Medicare ID - Type UnspecifiedPSYCHOLOGIST