Healthcare Provider Details
I. General information
NPI: 1962709055
Provider Name (Legal Business Name): KARINA BARRO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/25/2011
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 HINCHMAN AVE STE 4
WAYNE NJ
07470-2360
US
IV. Provider business mailing address
401 ROUTE 73 N STE 320
MARLTON NJ
08053-3426
US
V. Phone/Fax
- Phone: 973-595-6996
- Fax:
- Phone: 973-595-6996
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 003465-1 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 37PC00815900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: