Individual
EILEEN M BARBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164206801
—
TX
01
—
86882A
BCBS
TX
01
—
8B4660
MEDICARE ID - TYPE UNSPEC
TX
Enumeration date
06/29/2006
Last updated
12/30/2016
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