Provider Demographics
NPI:1801938972
Name:O'BRIEN, BARBARA A (MA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10308 GRIZZLY OAK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-3977
Mailing Address - Country:US
Mailing Address - Phone:602-319-7474
Mailing Address - Fax:
Practice Address - Street 1:6626 SILVERMINE DR STE 700
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-1788
Practice Address - Country:US
Practice Address - Phone:602-319-7474
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0866101YP2500X
TX69324101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional