Provider Demographics
NPI:1578391884
Name:BARKER, PAULA (MA, PPSC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:MA, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 GOLF CLUB RD APT 1A
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1501
Mailing Address - Country:US
Mailing Address - Phone:707-591-6774
Mailing Address - Fax:
Practice Address - Street 1:141 GOLF CLUB RD APT 1A
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1501
Practice Address - Country:US
Practice Address - Phone:707-591-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200150104101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool