Healthcare Provider Details

I. General information

NPI: 1033135025
Provider Name (Legal Business Name): RUPERT GARRISON BARBER PH D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD STE 2
ASHEVILLE NC
28805-2576
US

IV. Provider business mailing address

12050 VANCE JACKSON BLDG 2 SUITE 2
SAN ANTONIO TX
78230
US

V. Phone/Fax

Practice location:
  • Phone: 828-713-6066
  • Fax:
Mailing address:
  • Phone: 210-699-8881
  • Fax: 210-699-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number25818
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: