Provider Demographics
NPI:1033463187
Name:BARBER-JERKINS, SHARITA OVELLA (MS)
Entity Type:Individual
Prefix:
First Name:SHARITA
Middle Name:OVELLA
Last Name:BARBER-JERKINS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-2706
Mailing Address - Country:US
Mailing Address - Phone:267-300-6030
Mailing Address - Fax:
Practice Address - Street 1:7200 N 20TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-2706
Practice Address - Country:US
Practice Address - Phone:267-300-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-27
Last Update Date:2012-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor