Provider Demographics
NPI:1720595671
Name:RIPANI, BARBARA ANN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:RIPANI
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 1:55 FAIRHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:TRACYS LANDING
Mailing Address - State:MD
Mailing Address - Zip Code:20779-9718
Mailing Address - Country:US
Mailing Address - Phone:443-254-5731
Mailing Address - Fax:
Practice Address - Street 1:55 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:TRACYS LANDING
Practice Address - State:MD
Practice Address - Zip Code:20779-9718
Practice Address - Country:US
Practice Address - Phone:443-254-5731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-01
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD087301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical