Provider Demographics
NPI:1598124570
Name:BARSKI, DERNA E (MRP)
Entity Type:Individual
Prefix:
First Name:DERNA
Middle Name:E
Last Name:BARSKI
Suffix:
Gender:F
Credentials:MRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 ALDER RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-7805
Mailing Address - Country:US
Mailing Address - Phone:610-866-1315
Mailing Address - Fax:610-419-8679
Practice Address - Street 1:4210 ALDER RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-7805
Practice Address - Country:US
Practice Address - Phone:610-866-1315
Practice Address - Fax:610-419-8679
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist