Provider Demographics
NPI:1568578458
Name:MATTHEWS, BARBARA LOUIS (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOUIS
Last Name:MATTHEWS
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 1:707 E 3RD ST
Mailing Address - Street 2:#101
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720
Mailing Address - Country:US
Mailing Address - Phone:432-263-3868
Mailing Address - Fax:432-263-3402
Practice Address - Street 1:707 E 3RD ST
Practice Address - Street 2:#101
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720
Practice Address - Country:US
Practice Address - Phone:432-263-3868
Practice Address - Fax:432-263-3402
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25130103TC0700X
MA7674103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00880PMedicare ID - Type Unspecified