Provider Demographics
NPI:1427144385
Name:MYERS, BARBARA ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANNE
Last Name:MYERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:LITTLE MEADOWS
Mailing Address - State:PA
Mailing Address - Zip Code:18830-0325
Mailing Address - Country:US
Mailing Address - Phone:607-760-1673
Mailing Address - Fax:607-625-4438
Practice Address - Street 1:3 TIOGA BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:APALACHIN
Practice Address - State:NY
Practice Address - Zip Code:13732-4150
Practice Address - Country:US
Practice Address - Phone:607-785-4156
Practice Address - Fax:607-625-4438
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010412103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical