Provider Demographics
NPI:1205669504
Name:BARKER, ANGELA EUGENIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:EUGENIA
Last Name:BARKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MURDOCK ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3785
Mailing Address - Country:US
Mailing Address - Phone:304-910-1112
Mailing Address - Fax:
Practice Address - Street 1:407 E MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3407
Practice Address - Country:US
Practice Address - Phone:276-477-3006
Practice Address - Fax:276-525-4480
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0805002544103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty