Provider Demographics
NPI:1194050815
Name:BAR, AHUVA (MA)
Entity type:Individual
Prefix:
First Name:AHUVA
Middle Name:
Last Name:BAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BEAUFORT DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5701
Mailing Address - Country:US
Mailing Address - Phone:407-682-5306
Mailing Address - Fax:
Practice Address - Street 1:18510 MADISON AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-2559
Practice Address - Country:US
Practice Address - Phone:407-254-9402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health