Provider Demographics
NPI:1356356786
Name:CHRISTIAN, BARBARA ANN (MASTERS DEGREE, LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MASTERS DEGREE, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 DIXIEWAY NORTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-3393
Mailing Address - Country:US
Mailing Address - Phone:574-272-7700
Mailing Address - Fax:574-272-7800
Practice Address - Street 1:227 DIXIEWAY NORTH
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46637-3393
Practice Address - Country:US
Practice Address - Phone:574-272-7700
Practice Address - Fax:574-272-7800
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
IN34002565A1041C0700X
IN35000335A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000342545OtherBC/BS