Provider Demographics
NPI:1942231170
Name:BARKER, DAVID THOMAS (MS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMAS
Last Name:BARKER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 OVERLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3746
Mailing Address - Country:US
Mailing Address - Phone:913-649-4768
Mailing Address - Fax:
Practice Address - Street 1:8101 OVERLAND PARK DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3746
Practice Address - Country:US
Practice Address - Phone:913-649-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional