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General NPI Number Information
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NPI Number | 1013532274
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Entity Type | Individual
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Provider Name | SHELLEY M BARBER PHD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2020
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 4126 E MADISON ST STE 204
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City | SEATTLE
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State | WA
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Zip | 98112-3345
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Country | US
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Telephone | 206-926-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 5505 44TH CT SE
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City | LACEY
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State | WA
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Zip | 98503-4351
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Country | US
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Telephone | 865-805-0425
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61097748
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License Number State | WA
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