Provider Demographics
NPI:1134469489
Name:HOUGH, BARBARA (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HOUGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 GLENWOOD TOWNHOUSE RD
Mailing Address - Street 2:A
Mailing Address - City:ROUND TOP
Mailing Address - State:NY
Mailing Address - Zip Code:12473-5515
Mailing Address - Country:US
Mailing Address - Phone:518-365-0424
Mailing Address - Fax:
Practice Address - Street 1:23 GLENWOOD TOWNHOUSE RD
Practice Address - Street 2:A
Practice Address - City:ROUND TOP
Practice Address - State:NY
Practice Address - Zip Code:12473-5515
Practice Address - Country:US
Practice Address - Phone:518-365-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY494848-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health