Provider Demographics
NPI:1780706861
Name:BARANDIARAN, MARIA HELENA (MA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:HELENA
Last Name:BARANDIARAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 508
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-0508
Mailing Address - Country:US
Mailing Address - Phone:870-451-9742
Mailing Address - Fax:
Practice Address - Street 1:1575 HIGHWAY 371 W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-7598
Practice Address - Country:US
Practice Address - Phone:870-451-9742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR04-02E103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist