Provider Demographics
NPI:1467732925
Name:ROBERTSON, BARBARA (LCPAT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:LCPAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3091 SCOTTSBOROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:RIVA
Mailing Address - State:MD
Mailing Address - Zip Code:21140-1420
Mailing Address - Country:US
Mailing Address - Phone:410-353-5708
Mailing Address - Fax:443-914-0554
Practice Address - Street 1:1203 WEST ST STE D
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3662
Practice Address - Country:US
Practice Address - Phone:410-353-5708
Practice Address - Fax:443-914-0554
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDATC011221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDATC011OtherLCPAT - ART THERAPIST LICENSE