Provider Demographics
NPI:1174639371
Name:MUSGROVE, BARBARA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:MUSGROVE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 PENNSYLVANIA AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3015
Mailing Address - Country:US
Mailing Address - Phone:202-548-2533
Mailing Address - Fax:301-630-0774
Practice Address - Street 1:1308 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3015
Practice Address - Country:US
Practice Address - Phone:202-548-2533
Practice Address - Fax:301-630-0774
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1018103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist