Provider Demographics
NPI:1326313552
Name:BARBERIO, THOMAS L (PSYD, LPC, NCSP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:BARBERIO
Suffix:
Gender:M
Credentials:PSYD, LPC, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 LONGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-1198
Mailing Address - Country:US
Mailing Address - Phone:717-343-6949
Mailing Address - Fax:
Practice Address - Street 1:2310 LONGWOOD LN
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1198
Practice Address - Country:US
Practice Address - Phone:717-343-6949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004106101Y00000X, 101YM0800X, 101YP2500X
PANCSP 32650103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool