Provider Demographics
NPI:1720067929
Name:BARNES, MARGARET LILJA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LILJA
Last Name:BARNES
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 1:4512 GRENDEL RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5441
Mailing Address - Country:US
Mailing Address - Phone:336-323-6300
Mailing Address - Fax:
Practice Address - Street 1:4512 GRENDEL RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-5441
Practice Address - Country:US
Practice Address - Phone:336-323-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1496103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0316HOtherBCBS
NC2812223Medicare ID - Type UnspecifiedPSYCHOLOGIST