MEDICARE: DR. BARBARA GIBSON HUNDLEY M.D.

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	102L00000X	Psychoanalyst	A30827	CA

General Provider Information

NPI Number	:	1629238936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA GIBSON HUNDLEY M.D.

Provider Business Mailing Address
First Line	:	6809 INDIANA AVE STE 136
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-4221
Country	:	US
Telephone Number	:	909-322-6550
Fax Number	:	909-799-5587

Provider Business Practice Location Address
First Line	:	6809 INDIANA AVE STE 136
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-4221
Country	:	US
Telephone Number	:	909-322-6550
Fax Number	:	909-799-5587

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

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	06/03/2015

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