Provider Demographics
NPI:1508077249
Name:STILL, BARBARA JUNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JUNE
Last Name:STILL
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 1:4904 WATERS EDGE DR
Mailing Address - Street 2:SUITE 264
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2484
Mailing Address - Country:US
Mailing Address - Phone:919-858-7887
Mailing Address - Fax:919-858-5709
Practice Address - Street 1:4904 WATERS EDGE DR
Practice Address - Street 2:SUITE 264
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2484
Practice Address - Country:US
Practice Address - Phone:919-858-7887
Practice Address - Fax:919-858-5709
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2184103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent