Most Relevant Information
Provider Data
NPI Number: | 1003040304 |
Provider Name: | LARRY BARKER PH.D. |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 2322 |
Most Important Dates
Enumeration Date: | 05/14/2009 |
Last Updated: | 05/14/2009 |
Provider Practice Location
122 CARDIFF ST
COLUMBIA
SC
292092005
Practice Location Phone/Fax
Phone: | 8034475585 |
Fax: |
Provider Mailing Location
122 CARDIFF ST
COLUMBIA
SC
292092005
Provider Mailing Phone/Fax
Phone: | 8034475585 |
Fax: |