Provider Demographics
NPI:1043480866
Name:BARBOUR, SHARON A (BS, MS)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7548 STATE ROAD 56
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-9653
Mailing Address - Country:US
Mailing Address - Phone:812-438-3984
Mailing Address - Fax:
Practice Address - Street 1:7548 STATE ROAD 56
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-9653
Practice Address - Country:US
Practice Address - Phone:812-438-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1041000000X104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker