Provider Demographics
NPI:1366653115
Name:BARBOSA, ANNA M (MS)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:M
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:BARBOSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:813 N LUMBER ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-1505
Mailing Address - Country:US
Mailing Address - Phone:610-432-0521
Mailing Address - Fax:610-740-9550
Practice Address - Street 1:402 N FULTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-2002
Practice Address - Country:US
Practice Address - Phone:610-432-0521
Practice Address - Fax:610-740-9550
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health