Doctor Name: | STEPHANIE BARNETT |
NPI Number: | 1093146995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 826 Delaware Ave Fountain Hill, PA - 180151174 |
Business Phone Number: | 6104193101 |
Business Fax Number: | |
Mailing Address: | 826 Delaware Ave, FOUNTAIN HILL |
State: | PA |
Postal Code: | 180151174 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |