MEDICARE: MRS. ANNE H BARKER LCSW PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	1424	OK

General Provider Information

NPI Number	:	1053476366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE H BARKER LCSW PHD

Provider Business Mailing Address
First Line	:	1802 GUILFORD LANE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120
Country	:	US
Telephone Number	:	405-570-2581
Fax Number	:	405-840-1314

Provider Business Practice Location Address
First Line	:	3140 WEST BRITTON RD
Second Line	:	STE 201
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-4731
Country	:	US
Telephone Number	:	405-570-2581
Fax Number	:	405-840-1314

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/08/2007

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