Doctor Name: | DR. MICHELLE BARNETT |
NPI Number: | 1275776395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 4969 |
Business Practice Address: | 100 Freeman Dr Saint Peter, MN - 560823504 |
Business Phone Number: | 5079542145 |
Business Fax Number: | |
Mailing Address: | 100 Freeman Dr, SAINT PETER |
State: | MN |
Postal Code: | 560823504 |
Phone Number: | 5079542145 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2009 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |