Provider Demographics
NPI:1588780977
Name:BARBER, ANDREW V (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:V
Last Name:BARBER
Suffix:
Gender:M
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 TIERRA ALTA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2117
Mailing Address - Country:US
Mailing Address - Phone:915-581-7303
Mailing Address - Fax:
Practice Address - Street 1:7121 TIERRA ALTA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2117
Practice Address - Country:US
Practice Address - Phone:915-581-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2012-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028315202Medicaid