Provider Demographics
NPI:1548317480
Name:STARR, BARBARA S (EDD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:STARR
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 WARDELL ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4499
Mailing Address - Country:US
Mailing Address - Phone:973-992-0043
Mailing Address - Fax:
Practice Address - Street 1:48 WARDELL ROAD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4499
Practice Address - Country:US
Practice Address - Phone:973-992-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100120500103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ST 472548Medicare ID - Type Unspecified