Provider Demographics
NPI:1598839169
Name:MARRIOTT, BARBARA JEANNE (ATR BC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEANNE
Last Name:MARRIOTT
Suffix:
Gender:F
Credentials:ATR BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:32 RIVERVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3818
Mailing Address - Country:US
Mailing Address - Phone:781-893-9561
Mailing Address - Fax:
Practice Address - Street 1:789 CLAPBOARDTREE STREET
Practice Address - Street 2:HARBOR COUNSELING
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-762-4001
Practice Address - Fax:781-461-5950
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
87125221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist