Individual
DR. BARBARA SHAW CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3170 W CENTRAL AVE, TOLEDO, OH 43606
(567) 316-7253
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(567) 316-7253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
061414
GA
2084P0800X
Psychiatry Physician
35085386
OH
2084P0800X
Psychiatry Physician
ME97311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2545008
—
OH
01
—
P01053073
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
11/30/2006
Last updated
10/03/2019
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