Provider Demographics
NPI:1184096851
Name:WASOWSKA, BARBARA A (LCPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:WASOWSKA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7063 TOBY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1567
Mailing Address - Country:US
Mailing Address - Phone:410-908-3459
Mailing Address - Fax:
Practice Address - Street 1:7063 TOBY DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1567
Practice Address - Country:US
Practice Address - Phone:410-908-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC7447101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional