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NPI Code Detail

MEDICARE: MS. BARBARA LOUISE RAY LPC

MEDICARE: MS. BARBARA LOUISE RAY LPC
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
1101YP2500XProfessional Counselor3015CO

General Provider Information

NPI Number : 1326167495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA LOUISE RAY LPC
Provider Business Mailing Address
First Line : 2809 CONCORD ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6127
Country : US
Telephone Number : 719-633-4114
Fax Number : 719-633-0150
Provider Business Practice Location Address
First Line : 2135 SOUTHGATE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-2605
Country : US
Telephone Number : 719-633-4114
Fax Number : 719-633-0150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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