Provider Demographics
NPI:1548929474
Name:BARKER, JULIA SUE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:SUE
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 EMMETT AVE APT 37
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-4108
Mailing Address - Country:US
Mailing Address - Phone:859-274-3281
Mailing Address - Fax:
Practice Address - Street 1:913 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2539
Practice Address - Country:US
Practice Address - Phone:270-782-5014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health