Provider Demographics
NPI:1902113970
Name:BARLOW, MARTHA STOVER (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:STOVER
Last Name:BARLOW
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5163 OTTOBINE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:VA
Mailing Address - Zip Code:22821-2908
Mailing Address - Country:US
Mailing Address - Phone:540-879-2669
Mailing Address - Fax:
Practice Address - Street 1:5163 OTTOBINE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:VA
Practice Address - Zip Code:22821-2908
Practice Address - Country:US
Practice Address - Phone:540-280-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional