Provider Demographics
NPI:1912770769
Name:BARBARA J SPARROW LLC
Entity Type:Organization
Organization Name:BARBARA J SPARROW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-917-2990
Mailing Address - Street 1:68-1125 N KANIKU DR APT 1903
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-7727
Mailing Address - Country:US
Mailing Address - Phone:512-917-2990
Mailing Address - Fax:
Practice Address - Street 1:68-1125 N KANIKU DR APT 1903
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7727
Practice Address - Country:US
Practice Address - Phone:512-917-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty