Provider Demographics
NPI:1407028152
Name:VATZ, BARBARA CAROL (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CAROL
Last Name:VATZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 MANNING PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-1137
Mailing Address - Country:US
Mailing Address - Phone:919-783-8200
Mailing Address - Fax:
Practice Address - Street 1:2801 MANNING PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-1137
Practice Address - Country:US
Practice Address - Phone:919-783-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1713103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool