Provider Demographics
NPI:1952504672
Name:CAVANAUGH, BARBARA TALLON (RN, IBCLC, MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:TALLON
Last Name:CAVANAUGH
Suffix:
Gender:F
Credentials:RN, IBCLC, MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 CHIPPENHAM RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2198
Mailing Address - Country:US
Mailing Address - Phone:717-732-2808
Mailing Address - Fax:717-732-2808
Practice Address - Street 1:3808 CHIPPENHAM RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2198
Practice Address - Country:US
Practice Address - Phone:717-732-2808
Practice Address - Fax:717-732-2808
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay