Provider Demographics
NPI:1811998776
Name:CAUDILL, BARBARA A (MSS)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:CAUDILL
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 GILPIN AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-5100
Mailing Address - Country:US
Mailing Address - Phone:302-984-2455
Mailing Address - Fax:
Practice Address - Street 1:1321 GILPIN AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-5100
Practice Address - Country:US
Practice Address - Phone:302-984-2455
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ10000389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional