Provider Demographics
NPI:1790588697
Name:DAUGHTREY, BARBARA (MPSS)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:DAUGHTREY
Suffix:
Gender:
Credentials:MPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 MILL STREET
Mailing Address - Street 2:
Mailing Address - City:LOYALTON
Mailing Address - State:CA
Mailing Address - Zip Code:96118-0706
Mailing Address - Country:US
Mailing Address - Phone:530-993-6731
Mailing Address - Fax:
Practice Address - Street 1:706 MILL STREET
Practice Address - Street 2:
Practice Address - City:LOYALTON
Practice Address - State:CA
Practice Address - Zip Code:96118-0706
Practice Address - Country:US
Practice Address - Phone:530-993-6731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-FMGYDJ175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist