Provider Demographics
NPI:1871674440
Name:PRITCHARD, BARBARA E (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:PRITCHARD
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 1:1980 E FORT LOWELL RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2326
Mailing Address - Country:US
Mailing Address - Phone:520-296-4280
Mailing Address - Fax:520-296-3835
Practice Address - Street 1:1980 E FORT LOWELL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2326
Practice Address - Country:US
Practice Address - Phone:520-296-4280
Practice Address - Fax:520-296-3835
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1781103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ193897Medicaid
R95743Medicare UPIN
AZZPHD1781Medicare PIN