Provider Demographics
NPI:1093835548
Name:DAVIS, BARBARA KAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:KAREN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:DAVIS
Other - Last Name:MERCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 TOWN CENTER DR
Mailing Address - Street 2:STE. G40
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3503
Mailing Address - Country:US
Mailing Address - Phone:215-757-1915
Mailing Address - Fax:
Practice Address - Street 1:930 TOWN CENTER DR
Practice Address - Street 2:STE. G40
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3503
Practice Address - Country:US
Practice Address - Phone:215-757-1915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4201852084P0800X
NY2222392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG61313Medicare UPIN