Provider Demographics
NPI:1104939677
Name:TARKIN, BARBARA J (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:TARKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NORTHWESTERN DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3463
Mailing Address - Country:US
Mailing Address - Phone:860-242-3702
Mailing Address - Fax:860-242-1964
Practice Address - Street 1:6 NORTHWESTERN DR
Practice Address - Street 2:SUITE 306
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3463
Practice Address - Country:US
Practice Address - Phone:860-242-3702
Practice Address - Fax:860-242-1964
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002509103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent