Provider Demographics
NPI:1225483837
Name:BARBOUR, REVEE (ND, MS)
Entity Type:Individual
Prefix:DR
First Name:REVEE
Middle Name:
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:ND, MS
Other - Prefix:DR
Other - First Name:RAY
Other - Middle Name:
Other - Last Name:BARBOUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, MS
Mailing Address - Street 1:1045 ELM ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1844
Mailing Address - Country:US
Mailing Address - Phone:603-546-2966
Mailing Address - Fax:916-415-1979
Practice Address - Street 1:1045 ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1844
Practice Address - Country:US
Practice Address - Phone:603-546-2966
Practice Address - Fax:916-415-1979
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA868175F00000X
NH83175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath