Provider Demographics
NPI:1952063489
Name:BARBER, CHEYENNE N (ATP)
Entity Type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:N
Last Name:BARBER
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 COUNTY ROAD 912
Mailing Address - Street 2:
Mailing Address - City:GODLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76044-3577
Mailing Address - Country:US
Mailing Address - Phone:214-886-2491
Mailing Address - Fax:
Practice Address - Street 1:2001 108TH ST STE 104
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1429
Practice Address - Country:US
Practice Address - Phone:214-724-0827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other