Provider Demographics
NPI:1558456921
Name:MARKWAY, BARBARA GERTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GERTH
Last Name:MARKWAY
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 1:428 E CAPITOL AVE
Mailing Address - Street 2:SUITES 311-313
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3164
Mailing Address - Country:US
Mailing Address - Phone:573-635-5055
Mailing Address - Fax:573-635-5014
Practice Address - Street 1:428 E CAPITOL AVE
Practice Address - Street 2:SUITES 311-313
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3164
Practice Address - Country:US
Practice Address - Phone:573-635-5055
Practice Address - Fax:573-635-5014
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01500103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist