Provider Demographics
NPI:1326001165
Name:MCDERMOTT, BARBARA JO (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JO
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9085 SOUTHERN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORIENT
Mailing Address - State:OH
Mailing Address - Zip Code:43146-9360
Mailing Address - Country:US
Mailing Address - Phone:740-357-1575
Mailing Address - Fax:
Practice Address - Street 1:9085 SOUTHERN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ORIENT
Practice Address - State:OH
Practice Address - Zip Code:43146-9360
Practice Address - Country:US
Practice Address - Phone:740-357-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5950103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist