Provider Demographics
NPI:1265990444
Name:BARBER, DECLAN PAUL
Entity type:Individual
Prefix:
First Name:DECLAN
Middle Name:PAUL
Last Name:BARBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 DONEGAL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-2912
Mailing Address - Country:US
Mailing Address - Phone:717-305-8457
Mailing Address - Fax:
Practice Address - Street 1:350 DONEGAL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-2912
Practice Address - Country:US
Practice Address - Phone:717-305-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer