Provider Demographics
NPI:1356566053
Name:BARGA, SHIRLEY ANN (MEDLPC,LMFT)
Entity type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:ANN
Last Name:BARGA
Suffix:
Gender:F
Credentials:MEDLPC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N. COLLINS BLVD.
Mailing Address - Street 2:SUITE 126
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3553
Mailing Address - Country:US
Mailing Address - Phone:972-233-1725
Mailing Address - Fax:972-680-9216
Practice Address - Street 1:1701 N. COLLINS BLVD.
Practice Address - Street 2:SUITE 126
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3553
Practice Address - Country:US
Practice Address - Phone:972-233-1725
Practice Address - Fax:972-680-9216
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL.P.C. 9118101YM0800X
TXL.M.F.T. 3879106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist