Provider Demographics
NPI:1225235484
Name:DUPIN, BARBARA KAY (LMP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KAY
Last Name:DUPIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MRS
Other - First Name:STARLA
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:10524 SE 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUX ARTS
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7231
Mailing Address - Country:US
Mailing Address - Phone:425-646-1819
Mailing Address - Fax:
Practice Address - Street 1:10524 SE 27TH ST
Practice Address - Street 2:
Practice Address - City:BEAUX ARTS
Practice Address - State:WA
Practice Address - Zip Code:98004-7231
Practice Address - Country:US
Practice Address - Phone:425-646-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA7935171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor