Provider Demographics
NPI:1497859193
Name:BENTLEY, BARBARA YINGER (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:YINGER
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 COLONEL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9126
Mailing Address - Country:US
Mailing Address - Phone:859-623-1756
Mailing Address - Fax:
Practice Address - Street 1:3453 COLONEL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9126
Practice Address - Country:US
Practice Address - Phone:859-623-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0378104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker