Healthcare Provider Details

I. General information

NPI: 1407908965
Provider Name (Legal Business Name): GAIL A BARKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HIGHLAND AVE
CINCINNATI OH
45219-2315
US

IV. Provider business mailing address

3001 HIGHLAND AVE
CINCINNATI OH
45219-2315
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-8830
  • Fax: 513-961-1530
Mailing address:
  • Phone: 513-961-8830
  • Fax: 513-961-1530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number049216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: