Provider Demographics
NPI:1568297547
Name:SOMMER, BARBARA KARIN (PHD CANDIDATE INTERN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:KARIN
Last Name:SOMMER
Suffix:
Gender:F
Credentials:PHD CANDIDATE INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 BONFIRE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4388
Mailing Address - Country:US
Mailing Address - Phone:775-432-8086
Mailing Address - Fax:
Practice Address - Street 1:10631 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5848
Practice Address - Country:US
Practice Address - Phone:775-432-8086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCPC-INTERN103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist