Provider Demographics
NPI:1043246101
Name:INGERSOLL, BARBARA DONOHUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:DONOHUE
Last Name:INGERSOLL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4838 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1739
Mailing Address - Country:US
Mailing Address - Phone:301-229-9497
Mailing Address - Fax:301-229-3709
Practice Address - Street 1:4838 PARK AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1739
Practice Address - Country:US
Practice Address - Phone:301-229-9497
Practice Address - Fax:301-229-3709
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1515103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist