Provider Demographics
NPI:1629238936
Name:HUNDLEY, BARBARA GIBSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GIBSON
Last Name:HUNDLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6809 INDIANA AVE STE 136
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4221
Mailing Address - Country:US
Mailing Address - Phone:909-322-6550
Mailing Address - Fax:909-799-5587
Practice Address - Street 1:6809 INDIANA AVE STE 136
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4221
Practice Address - Country:US
Practice Address - Phone:909-322-6550
Practice Address - Fax:909-799-5587
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30827102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst