Provider Demographics
NPI:1922544527
Name:PATRICIA P. BARBER PA
Entity Type:Organization
Organization Name:PATRICIA P. BARBER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MSLMHC
Authorized Official - Phone:407-767-8854
Mailing Address - Street 1:500 E SR 434
Mailing Address - Street 2:SUITE 104B
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5222
Mailing Address - Country:US
Mailing Address - Phone:407-767-8854
Mailing Address - Fax:407-482-4861
Practice Address - Street 1:500 E SR 434
Practice Address - Street 2:SUITE 104B
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5222
Practice Address - Country:US
Practice Address - Phone:407-767-8854
Practice Address - Fax:407-482-4861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH573251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health