Provider Demographics
NPI:1518269323
Name:BARBER, AMY PARMENTER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:PARMENTER
Last Name:BARBER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2988 WALLS FORD ROAD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65704
Mailing Address - Country:US
Mailing Address - Phone:417-350-6100
Mailing Address - Fax:417-924-2034
Practice Address - Street 1:2988 WALLS FORD ROAD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MO
Practice Address - Zip Code:65704
Practice Address - Country:US
Practice Address - Phone:417-350-6100
Practice Address - Fax:417-924-2034
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006004427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional