| Barbara J Sparrow Llc | |
|
68-1125 N Kaniku Dr Apt 1903 Kamuela HI 96743-7727 | |
| (512) 917-2990 | |
| Not Available |
| Full Name | Barbara J Sparrow Llc |
|---|---|
| Speciality | Psychologist |
| Location | 68-1125 N Kaniku Dr Apt 1903, Kamuela, Hawaii |
| Authorized Official Name and Position | Barbara Sparrow (MEMBER) |
| Authorized Official Contact | 5129172990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara J Sparrow Llc 68-1125 N Kaniku Dr Apt 1903 Kamuela HI 96743-7727 Ph: (512) 917-2990 | Barbara J Sparrow Llc 68-1125 N Kaniku Dr Apt 1903 Kamuela HI 96743-7727 Ph: (512) 917-2990 |
| NPI Number | 1912770769 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 1951750934 |
|---|---|
| Medicare Enrollment ID | O20231215002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912770769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Barbara J Sparrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619757622 PECOS PAC ID: 3779932751 Enrollment ID: I20231215002444 |
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