Provider Demographics
NPI:1831377035
Name:COX, BARBARA DENISE
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DENISE
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17270 BEAR VALLEY RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7751
Mailing Address - Country:US
Mailing Address - Phone:760-843-5176
Mailing Address - Fax:760-843-5175
Practice Address - Street 1:17270 BEAR VALLEY RD
Practice Address - Street 2:SUITE 108
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7751
Practice Address - Country:US
Practice Address - Phone:760-843-5176
Practice Address - Fax:760-843-5175
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NO REQUIRED104100000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker