Provider Demographics
NPI:1609107416
Name:BARKER, KEVIN PHILLIP (MA)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:PHILLIP
Last Name:BARKER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 S UNIVERSITY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5227
Mailing Address - Country:US
Mailing Address - Phone:509-385-0290
Mailing Address - Fax:509-534-9385
Practice Address - Street 1:325 S UNIVERSITY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5227
Practice Address - Country:US
Practice Address - Phone:509-385-0290
Practice Address - Fax:509-534-9385
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health