Provider Demographics
NPI:1821599671
Name:BARBARA UCHINO
Entity Type:Organization
Organization Name:BARBARA UCHINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JOELLE
Authorized Official - Last Name:UCHINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-321-4813
Mailing Address - Street 1:1801 N MERIDIAN RD STE B
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5266
Mailing Address - Country:US
Mailing Address - Phone:850-321-4813
Mailing Address - Fax:
Practice Address - Street 1:1801 N MERIDIAN RD STE B
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-5266
Practice Address - Country:US
Practice Address - Phone:850-321-4813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7543103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75111OtherFLORIDA BLUE