Provider Demographics
NPI:1356467161
Name:UNGER, BARBARA CECILE (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CECILE
Last Name:UNGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EMERSON ST
Mailing Address - Street 2:#104
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:303-832-8283
Mailing Address - Fax:303-825-8424
Practice Address - Street 1:601 EMERSON ST
Practice Address - Street 2:#104
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:303-832-8283
Practice Address - Fax:303-825-8424
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO528103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO97396Medicare ID - Type Unspecified