Provider Demographics
NPI:1750663332
Name:BARRON, EILEEN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:M
Last Name:BARRON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-1031
Mailing Address - Country:US
Mailing Address - Phone:814-835-2024
Mailing Address - Fax:814-835-2024
Practice Address - Street 1:3939 W RIDGE RD STE B43
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1882
Practice Address - Country:US
Practice Address - Phone:814-459-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017072103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling