Provider Demographics
NPI:1609074327
Name:BARKER, CARA LEE (RN, PHD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:LEE
Last Name:BARKER
Suffix:
Gender:F
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-3607
Mailing Address - Country:US
Mailing Address - Phone:425-576-0993
Mailing Address - Fax:425-739-8495
Practice Address - Street 1:3805 108TH AVE NE
Practice Address - Street 2:SUITE 120
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7613
Practice Address - Country:US
Practice Address - Phone:425-803-0989
Practice Address - Fax:425-739-9485
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00057274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health