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NPI 1366415176

NPI 1366415176 : BARBARA ANN CUBIC PHD : MORGANTOWN, WV

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General NPI Number Information
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    NPI Number           |    1366415176
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA ANN CUBIC PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2006
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    Last Update Date     |    02/20/2023
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Provider Practice Location Address
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    Address Line         |    6040 UNIVERSITY TOWN CENTRE DR 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26501-2421
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    Country              |    US
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    Telephone            |    855-988-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 936 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23501-0936
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    Country              |    US
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    Telephone            |    757-446-5888
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    Fax                  |    757-446-5918
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    081002011
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1189
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    License Number State |    WV
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Taxonomy #3
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    1189
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    License Number State |    WV
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