Provider Demographics
NPI:1932357910
Name:MEMORY, BARBARA COBB (PHD, MT-BC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:COBB
Last Name:MEMORY
Suffix:
Gender:F
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4609
Mailing Address - Country:US
Mailing Address - Phone:252-355-6643
Mailing Address - Fax:
Practice Address - Street 1:1310 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4609
Practice Address - Country:US
Practice Address - Phone:252-355-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist