Provider Demographics
NPI:1265195051
Name:BARBERICH, DENISE RENAE (LBS)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:RENAE
Last Name:BARBERICH
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-1015
Mailing Address - Country:US
Mailing Address - Phone:724-762-5060
Mailing Address - Fax:
Practice Address - Street 1:655 CHURCH ST STE E330
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2788
Practice Address - Country:US
Practice Address - Phone:724-463-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000428103K00000X
BH000428103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst