Doctor Name: | DR. MARIE BARRETT |
NPI Number: | 1043633944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 0810004864 |
Business Practice Address: | 6810 Teagle Lane Gloucester, VA - 23061 |
Business Phone Number: | 8042101104 |
Business Fax Number: | |
Mailing Address: | Po Box 2133, GLOUCESTER |
State: | VA |
Postal Code: | 230612133 |
Phone Number: | 8042101104 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810004864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |