Provider Demographics
NPI:1982047775
Name:OVESEN, BARBARA BULOW (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:BULOW
Last Name:OVESEN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:BULOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2683 US HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8577
Mailing Address - Country:US
Mailing Address - Phone:630-551-8602
Mailing Address - Fax:
Practice Address - Street 1:2683 US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8577
Practice Address - Country:US
Practice Address - Phone:630-551-8602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical