Provider Demographics
NPI:1184021719
Name:BAYCROFT, BARBARA LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:BAYCROFT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:BAYCROFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:34 LAUREL CREST RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-3344
Mailing Address - Country:US
Mailing Address - Phone:203-747-0397
Mailing Address - Fax:
Practice Address - Street 1:10 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-3033
Practice Address - Country:US
Practice Address - Phone:203-245-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health