Healthcare Provider Details
I. General information
NPI: 1457415234
Provider Name (Legal Business Name): ANN C BARROWS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/19/2006
Last Update Date: 04/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 SHADY AVE SUITE B106
PITTSBURGH PA
15206-4409
US
IV. Provider business mailing address
401 SHADY AVE SUITE B106
PITTSBURGH PA
15206-4409
US
V. Phone/Fax
- Phone: 412-862-1236
- Fax:
- Phone: 412-862-1236
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | PS017240 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PS017240 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PS017240 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: