Provider Demographics
NPI:1396084224
Name:DAVIS, BARBARIAE A (MS)
Entity type:Individual
Prefix:MS
First Name:BARBARIAE
Middle Name:A
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10002 N 103RD EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-7214
Mailing Address - Country:US
Mailing Address - Phone:918-237-0598
Mailing Address - Fax:
Practice Address - Street 1:10002 N 103RD EAST AVE
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-7214
Practice Address - Country:US
Practice Address - Phone:918-237-0598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional