Provider Demographics
NPI:1568070472
Name:SAADE, BARBARA MAY
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MAY
Last Name:SAADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 W BRANDO ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-6756
Mailing Address - Country:US
Mailing Address - Phone:208-949-9300
Mailing Address - Fax:
Practice Address - Street 1:1500 E HERITAGE PARK ST STE 150
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5800
Practice Address - Country:US
Practice Address - Phone:208-631-0843
Practice Address - Fax:208-906-0807
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW36201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health