MEDICARE: MS. BARBARA U. STREETER MS, L.P.C.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E0001603	OH
2	102L00000X	Psychoanalyst	E0001603	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000361475	OTHER	OH	BC BS NUMBER

General Provider Information

NPI Number	:	1114136421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA U. STREETER MS, L.P.C.C.

Provider Business Mailing Address
First Line	:	2119 ELANDON DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-4608
Country	:	US
Telephone Number	:	216-421-9935
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 ELANDON DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-4608
Country	:	US
Telephone Number	:	216-421-9935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/11/2025

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