Provider Demographics
NPI:1124106075
Name:MORGAN, BARBARA LYSKOWSKI (MED LPC LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LYSKOWSKI
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MED LPC LCSW
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:CHRISTINA
Other - Last Name:LYSKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 INDEPENDENCE
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703
Mailing Address - Country:US
Mailing Address - Phone:573-334-7966
Mailing Address - Fax:573-334-7966
Practice Address - Street 1:225 INDEPENDENCE
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703
Practice Address - Country:US
Practice Address - Phone:573-334-8114
Practice Address - Fax:573-334-8114
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000067101YP2500X
MO0037561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical