Provider Demographics
NPI:1538248513
Name:HRUDA, BARBARA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:HRUDA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:MURENIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CISW
Mailing Address - Street 1:F 52 OMEGA DRIVE
Mailing Address - Street 2:OMEGA PROFESSIONAL CENTER
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-737-6607
Mailing Address - Fax:302-737-7430
Practice Address - Street 1:F 52 OMEGA DRIVE
Practice Address - Street 2:OMEGA PROFESSIONAL CENTER
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-737-6607
Practice Address - Fax:302-737-7430
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100002551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical