Healthcare Provider Details

I. General information

NPI: 1841629995
Provider Name (Legal Business Name): BARROW AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 11/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 S EMERSON AVE SUITE B
GREENWOOD IN
46143-1912
US

IV. Provider business mailing address

494 S EMERSON AVE SUITE B
GREENWOOD IN
46143-1912
US

V. Phone/Fax

Practice location:
  • Phone: 317-888-0581
  • Fax: 317-889-0359
Mailing address:
  • Phone: 317-888-0581
  • Fax: 317-889-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number20040530
License Number StateIN

VIII. Authorized Official

Name: MR. ALFRED ROBERT BARROW
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD, HSPP
Phone: 317-888-0581