Provider Demographics
NPI:1023900677
Name:BARTH, RAVYN MARIE
Entity type:Individual
Prefix:
First Name:RAVYN
Middle Name:MARIE
Last Name:BARTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17074-1011
Mailing Address - Country:US
Mailing Address - Phone:717-585-8748
Mailing Address - Fax:
Practice Address - Street 1:8130 ADAMS DR
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8623
Practice Address - Country:US
Practice Address - Phone:717-967-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional