Provider Demographics
NPI:1225354814
Name:BARBEE, KRISTIN NEELY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:NEELY
Last Name:BARBEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 PEAFOWL CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3332
Mailing Address - Country:US
Mailing Address - Phone:757-593-5085
Mailing Address - Fax:757-484-3123
Practice Address - Street 1:11835 CANON BLVD
Practice Address - Street 2:SUITE B-102
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2570
Practice Address - Country:US
Practice Address - Phone:757-593-5085
Practice Address - Fax:757-484-3123
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004243103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical