Provider Demographics
NPI:1528283173
Name:WHEELER, BARBARA L (PHD, MT-BC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:WHEELER
Suffix:
Gender:F
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 BOURBON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1762
Mailing Address - Country:US
Mailing Address - Phone:502-762-0507
Mailing Address - Fax:502-852-0520
Practice Address - Street 1:1225 BOURBON AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1762
Practice Address - Country:US
Practice Address - Phone:502-762-0507
Practice Address - Fax:502-852-0520
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist