Provider Demographics
NPI:1437537081
Name:BARROW, SHITAL
Entity Type:Individual
Prefix:
First Name:SHITAL
Middle Name:
Last Name:BARROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 HUMMINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-1334
Mailing Address - Country:US
Mailing Address - Phone:717-682-2117
Mailing Address - Fax:
Practice Address - Street 1:100 HIGHLANDS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7693
Practice Address - Country:US
Practice Address - Phone:717-625-0025
Practice Address - Fax:717-625-0009
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-15
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002747103K00000X
PAPC008808101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst