Provider Demographics
NPI:1508968272
Name:BARBERA, JUDITH (DC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:BARBERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:PREVENSKIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:734 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-3631
Mailing Address - Country:US
Mailing Address - Phone:864-583-9429
Mailing Address - Fax:
Practice Address - Street 1:734 UNION ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-3631
Practice Address - Country:US
Practice Address - Phone:864-583-9429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor