Healthcare Provider Details

I. General information

NPI: 1417007659
Provider Name (Legal Business Name): BARBARA YOUNG ARNER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W PATRICK ST SUITE 2B
FREDERICK MD
21701-4889
US

IV. Provider business mailing address

8006 MEADOWVIEW DR
FREDERICK MD
21702-2932
US

V. Phone/Fax

Practice location:
  • Phone: 301-639-3955
  • Fax:
Mailing address:
  • Phone: 301-631-2912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC1412
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC1412
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: