Provider Demographics
NPI:1497810287
Name:BARAB, HELENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:BARAB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 N KOLB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4005
Mailing Address - Country:US
Mailing Address - Phone:520-290-3606
Mailing Address - Fax:520-290-3615
Practice Address - Street 1:1998 N KOLB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4005
Practice Address - Country:US
Practice Address - Phone:520-290-3606
Practice Address - Fax:520-290-3615
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ1141103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0138980OtherBCBS
AZAZ0138980OtherBCBS