Provider Demographics
NPI:1598947038
Name:HOLDER, BARBARA CAROL (MFT PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CAROL
Last Name:HOLDER
Suffix:
Gender:F
Credentials:MFT PSYD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:CAROL
Other - Last Name:FLEET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:374 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6819
Mailing Address - Country:US
Mailing Address - Phone:267-625-8881
Mailing Address - Fax:
Practice Address - Street 1:374 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6819
Practice Address - Country:US
Practice Address - Phone:267-625-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016300103TA0700X, 103TF0000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily