Provider Demographics
NPI:1154479343
Name:RALPH, BARBARA (MS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:RALPH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S CENTER ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2840
Mailing Address - Country:US
Mailing Address - Phone:307-253-9549
Mailing Address - Fax:307-472-1735
Practice Address - Street 1:330 S CENTER ST
Practice Address - Street 2:SUITE 402
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2840
Practice Address - Country:US
Practice Address - Phone:307-253-9549
Practice Address - Fax:307-472-1735
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional