Provider Demographics
NPI:1982899498
Name:PRUPAS, BARBARA (PSYD, MFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:PRUPAS
Suffix:
Gender:F
Credentials:PSYD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 MILL STREET
Mailing Address - Street 2:K-8
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1474
Mailing Address - Country:US
Mailing Address - Phone:775-982-5320
Mailing Address - Fax:775-982-5690
Practice Address - Street 1:15 MCCABE DR
Practice Address - Street 2:STE 200
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5924
Practice Address - Country:US
Practice Address - Phone:775-982-2862
Practice Address - Fax:775-982-2865
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMFT 0537106H00000X
NVPY0603103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11951596OtherCAQH