Provider Demographics
NPI:1336555093
Name:DELISLE, BARBARA ELIZABETH (PHD, LICSW)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELIZABETH
Last Name:DELISLE
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Gender:F
Credentials:PHD, LICSW
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Mailing Address - Street 1:6925 COTTAGE HILL RD
Mailing Address - Street 2:STE E
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695
Mailing Address - Country:US
Mailing Address - Phone:251-300-9192
Mailing Address - Fax:251-800-7245
Practice Address - Street 1:6925 COTTAGE HILL RD
Practice Address - Street 2:STE E
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695
Practice Address - Country:US
Practice Address - Phone:251-300-9192
Practice Address - Fax:251-800-7245
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2018-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1494C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical