MEDICARE: DR. BARBARA ANN CARR PH.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	103TC0700X	Clinical Psychologist	0810003694	VA
2	103T00000X	Psychologist	0810003694	VA

General Provider Information

NPI Number	:	1750570602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA ANN CARR PH.D.

Provider Business Mailing Address
First Line	:	1769 JAMESTOWN RD. #114
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2307
Country	:	US
Telephone Number	:	703-300-5593
Fax Number	:	757-221-6620

Provider Business Practice Location Address
First Line	:	1769 JAMESTOWN RD STE 114
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2310
Country	:	US
Telephone Number	:	703-300-5593
Fax Number	:	757-221-6620

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

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	05/12/2015

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