Provider Demographics
NPI:1720226251
Name:O'CONNOR, BARBARA VAUGHN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:VAUGHN
Last Name:O'CONNOR
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 1:6609 NORTHUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1312
Mailing Address - Country:US
Mailing Address - Phone:919-247-9596
Mailing Address - Fax:
Practice Address - Street 1:6609 NORTHUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1312
Practice Address - Country:US
Practice Address - Phone:919-247-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health