Provider Demographics
NPI:1255347589
Name:MARTZ, BARBARA DIANE (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:DIANE
Last Name:MARTZ
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:MRS
Other - First Name:DEE
Other - Middle Name:RING
Other - Last Name:MARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LPC
Mailing Address - Street 1:315 N WEBER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1241
Mailing Address - Country:US
Mailing Address - Phone:719-630-7060
Mailing Address - Fax:
Practice Address - Street 1:315 N WEBER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1241
Practice Address - Country:US
Practice Address - Phone:719-630-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health