Provider Demographics
NPI:1316143399
Name:BARGER, ALVEDA
Entity type:Individual
Prefix:MRS
First Name:ALVEDA
Middle Name:
Last Name:BARGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VEDA
Other - Middle Name:
Other - Last Name:BARGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:213 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64744-1746
Mailing Address - Country:US
Mailing Address - Phone:417-876-3918
Mailing Address - Fax:
Practice Address - Street 1:3405 E HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:EL DORADO SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64744-8204
Practice Address - Country:US
Practice Address - Phone:417-876-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services