Oliver, Valderas Barksdale
Oliver, Valderas Barksdale is an sole proprietor health care provider with primary practice located at 9921 Reisterstown Rd Suite 3A, Owings Mills MD 21117-3900. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Oliver, Valderas Barksdale can be contacted via phone (410) 262-0707.Contact Information
Primary practice address
9921 Reisterstown Rd Suite 3A
Owings Mills MD 21117-3900
Phone: (410) 262-0707
Fax: (410) 367-7834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC0659 | Maryland |
Profile Details
NPI number | 1629223532 |
---|---|
LBN Legal business name | Oliver, Valderas Barksdale |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 19th, 2008 |
Last updated | Feb 1st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629223532 | NPPES |
Maryland | MEDICAID | 020644000 |
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