Provider Demographics
NPI:1689793754
Name:DALE, BARBARA CAVINESS
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CAVINESS
Last Name:DALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-1613
Mailing Address - Country:US
Mailing Address - Phone:336-480-7891
Mailing Address - Fax:
Practice Address - Street 1:2215 GLENSIDE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-1613
Practice Address - Country:US
Practice Address - Phone:336-480-7891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator