Provider Demographics
NPI:1255494456
Name:SEGAL, BARBARA PIERCE (LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:PIERCE
Last Name:SEGAL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3937 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1592
Mailing Address - Country:US
Mailing Address - Phone:508-240-0092
Mailing Address - Fax:508-255-1311
Practice Address - Street 1:3937 MAIN ST
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1592
Practice Address - Country:US
Practice Address - Phone:508-240-0092
Practice Address - Fax:508-255-1311
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1890000Medicaid