Healthcare Provider Details

I. General information

NPI: 1295736502
Provider Name (Legal Business Name): JANE M BARR MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 E CHOCOLATE AVE
HERSHEY PA
17033-1215
US

IV. Provider business mailing address

928 E CHOCOLATE AVE
HERSHEY PA
17033-1215
US

V. Phone/Fax

Practice location:
  • Phone: 717-533-4797
  • Fax: 717-533-1574
Mailing address:
  • Phone: 717-533-4797
  • Fax: 717-533-1574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW000657L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: