Individual
DR. BARBARA ANN MCDERMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, LCSW
Contact information
Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1766
Mailing address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 7322
FL
363LC1500X
Community Health Nurse Practitioner
ARNP 9203658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308654200
—
FL
01
—
Z054Q
BLUE CROSS BLUE SHIELD AS LCSW
FL
Enumeration date
03/06/2007
Last updated
05/02/2008
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