Provider Demographics
NPI:1962740464
Name:MINER, BARBARA E (PSYD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:E
Last Name:MINER
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 1:32 S RAYMOND AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1960
Mailing Address - Country:US
Mailing Address - Phone:626-792-4500
Mailing Address - Fax:
Practice Address - Street 1:32 S RAYMOND AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1960
Practice Address - Country:US
Practice Address - Phone:626-792-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23850103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical