Provider Demographics
NPI:1669694816
Name:CAVANAGH, BARBARA RUTH (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:RUTH
Last Name:CAVANAGH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10755 FALLS RD STE 260
Mailing Address - Street 2:JOHNS HOPKINS AT GREEN SPRING STATION
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4520
Mailing Address - Country:US
Mailing Address - Phone:410-561-3651
Mailing Address - Fax:410-583-2962
Practice Address - Street 1:10755 FALLS RD STE 260
Practice Address - Street 2:JOHNS HOPKINS AT GREEN SPRING STATION
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4520
Practice Address - Country:US
Practice Address - Phone:410-561-3651
Practice Address - Fax:410-583-2962
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2506103T00000X, 103TC0700X, 103TC2200X, 103TF0000X, 103TP2701X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool