Provider Demographics
NPI:1942979612
Name:WEINHOLD, BARRY K (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:K
Last Name:WEINHOLD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 TOPAZ DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-2734
Mailing Address - Country:US
Mailing Address - Phone:718-243-9609
Mailing Address - Fax:
Practice Address - Street 1:4820 TOPAZ DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2734
Practice Address - Country:US
Practice Address - Phone:719-243-9609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO483103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling