Provider Demographics
NPI:1376579979
Name:DSOUZA, BARBARA PATRICIA (LICSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:PATRICIA
Last Name:DSOUZA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 KINWEST PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3426
Mailing Address - Country:US
Mailing Address - Phone:972-910-8388
Mailing Address - Fax:972-910-8366
Practice Address - Street 1:1075 KINWEST PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3426
Practice Address - Country:US
Practice Address - Phone:972-910-8388
Practice Address - Fax:972-910-8366
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical