Provider Demographics
NPI:1417832346
Name:BARBARA BEAR, PSY.D., PLLC
Entity type:Organization
Organization Name:BARBARA BEAR, PSY.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:MANNING
Authorized Official - Last Name:BEAR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:336-404-5969
Mailing Address - Street 1:5509B W FRIENDLY AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4279
Mailing Address - Country:US
Mailing Address - Phone:336-545-9696
Mailing Address - Fax:336-464-2750
Practice Address - Street 1:5509B W FRIENDLY AVE STE 203
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4279
Practice Address - Country:US
Practice Address - Phone:336-545-9696
Practice Address - Fax:336-464-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty