Provider Demographics
NPI:1093889891
Name:ALFORD, BARBARA SHAW (PH D)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:SHAW
Last Name:ALFORD
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3818 SPICEWOOD SPRINGS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8971
Mailing Address - Country:US
Mailing Address - Phone:512-343-2830
Mailing Address - Fax:512-467-1931
Practice Address - Street 1:3818 SPICEWOOD SPRINGS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8971
Practice Address - Country:US
Practice Address - Phone:512-343-2830
Practice Address - Fax:512-467-1931
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22946103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032719901Medicaid
TX032719901Medicaid