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NPI Code Detail

MEDICARE: MRS. BARBARA A. WALDRON M.S., LPC INTERN

MEDICARE: MRS. BARBARA A. WALDRON M.S., LPC INTERN
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
1101YP2500XProfessional Counselor67771TX

General Provider Information

NPI Number : 1215341441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA A. WALDRON M.S., LPC INTERN
Provider Business Mailing Address
First Line : 13314 DUKE OF YORK LN
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4042
Country : US
Telephone Number : 407-221-7163
Fax Number :
Provider Business Practice Location Address
First Line : 402 JULIE RIVERS DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3144
Country : US
Telephone Number : 281-277-8811
Fax Number : 281-277-8827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/16/2014

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