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General NPI Number Information
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NPI Number | 1730219254
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Entity Type | Individual
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Provider Name | BARBARA ANN MCDERMID PHD, ARNP, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 2475 GARRISON AVE
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City | PORT ST JOE
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State | FL
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Zip | 32456-5265
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Country | US
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Telephone | 850-227-1276
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Fax | 850-227-1766
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Provider Business Mailing Address
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Address Line | 2475 GARRISON AVE
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City | PORT ST JOE
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State | FL
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Zip | 32456-5265
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Country | US
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Telephone | 850-227-1276
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Fax | 850-227-1766
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 7322
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | ARNP 9203658
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License Number State | FL
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