Provider Demographics
NPI:1477624831
Name:GIARDINA, BARBARA D (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:GIARDINA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:D G
Other - Last Name:LOSITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1338
Mailing Address - Country:US
Mailing Address - Phone:302-652-7733
Mailing Address - Fax:302-652-7785
Practice Address - Street 1:2300 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 4D
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1338
Practice Address - Country:US
Practice Address - Phone:302-652-7733
Practice Address - Fax:302-652-7785
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000287103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE677845Medicare ID - Type Unspecified