Provider Demographics
NPI:1285357715
Name:BARKLEY, CORDATRA (HHP, RH)
Entity type:Individual
Prefix:
First Name:CORDATRA
Middle Name:
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:HHP, RH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 BUFFALO RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:HARBORCREEK
Mailing Address - State:PA
Mailing Address - Zip Code:16421-1154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6768 BUFFALO RD UNIT 4
Practice Address - Street 2:
Practice Address - City:HARBORCREEK
Practice Address - State:PA
Practice Address - Zip Code:16421-1154
Practice Address - Country:US
Practice Address - Phone:814-737-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach