Provider Demographics
NPI:1790242956
Name:BARB, ALICE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:BARB
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2364
Mailing Address - Country:US
Mailing Address - Phone:302-440-4990
Mailing Address - Fax:267-288-0369
Practice Address - Street 1:117 FORREST AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2364
Practice Address - Country:US
Practice Address - Phone:302-440-4990
Practice Address - Fax:267-288-0369
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health