Provider Demographics
NPI:1477902922
Name:BARBIERO, CAITLIN (ND)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:BARBIERO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 BROAD ST
Mailing Address - Street 2:APT C
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4739
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 BROAD ST
Practice Address - Street 2:APT C
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4739
Practice Address - Country:US
Practice Address - Phone:203-214-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT569175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath