Provider Demographics
NPI:1467792473
Name:BARNABAS, ERNESTO RICARDO JR
Entity Type:Individual
Prefix:MR
First Name:ERNESTO
Middle Name:RICARDO
Last Name:BARNABAS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2086 IVYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-6101
Mailing Address - Country:US
Mailing Address - Phone:215-385-4138
Mailing Address - Fax:
Practice Address - Street 1:2086 IVYWOOD AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-6101
Practice Address - Country:US
Practice Address - Phone:215-385-4138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily