Provider Demographics
NPI:1568724573
Name:OWENS, BARBARA A (MS)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:OWENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 THATCHER ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3950
Mailing Address - Country:US
Mailing Address - Phone:617-259-7485
Mailing Address - Fax:617-858-3015
Practice Address - Street 1:222 THATCHER ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3950
Practice Address - Country:US
Practice Address - Phone:617-259-7485
Practice Address - Fax:617-858-3015
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator