Provider Demographics
NPI:1053856526
Name:BARBIERI, SAMANTHA (LAC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 EGG HARBOR RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1856
Mailing Address - Country:US
Mailing Address - Phone:856-589-3420
Mailing Address - Fax:856-345-2820
Practice Address - Street 1:342 EGG HARBOR RD
Practice Address - Street 2:SUITE B
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-1856
Practice Address - Country:US
Practice Address - Phone:856-589-3420
Practice Address - Fax:856-345-2820
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00339800101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor