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NPI Code Detail

MEDICARE: DR. KRISTA LEIGH BARKER PH.D, LCSW, BCETS

MEDICARE: DR. KRISTA LEIGH BARKER PH.D, LCSW, BCETS
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
11041C0700XClinical Social WorkerCSW003335GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457499667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTA LEIGH BARKER PH.D, LCSW, BCETS
Provider Business Mailing Address
First Line : PO BOX D
Second Line :
City : TOCCOA
State : GA
Zip : 30577-1448
Country : US
Telephone Number : 706-244-5159
Fax Number : 706-886-2265
Provider Business Practice Location Address
First Line : 768 HIGHWAY 123
Second Line :
City : TOCCOA
State : GA
Zip : 30577-8686
Country : US
Telephone Number : 706-244-5159
Fax Number : 706-886-2265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 10/24/2022

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