Healthcare Provider Details

I. General information

NPI: 1114136421
Provider Name (Legal Business Name): BARBARA U. STREETER MS, L.P.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 ELANDON DR
CLEVELAND OH
44106-4608
US

IV. Provider business mailing address

2119 ELANDON DR
CLEVELAND OH
44106-4608
US

V. Phone/Fax

Practice location:
  • Phone: 216-421-9935
  • Fax:
Mailing address:
  • Phone: 216-421-9935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001603
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberE0001603
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: