Provider Demographics
NPI:1811061385
Name:MCGLYNN, BARBARA ROSS (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ROSS
Last Name:MCGLYNN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2750 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0223
Mailing Address - Country:US
Mailing Address - Phone:530-262-6722
Mailing Address - Fax:530-241-2277
Practice Address - Street 1:2750 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0223
Practice Address - Country:US
Practice Address - Phone:530-262-6722
Practice Address - Fax:530-241-2277
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007438363LP0808X
CANP18923363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health