Richard H Barrett, Ii, Plc | |
5601 Duncan Rd Fort Smith AR 72903-3211 | |
(479) 561-3144 | |
Not Available |
Full Name | Richard H Barrett, Ii, Plc |
---|---|
Speciality | Psychologist |
Location | 5601 Duncan Rd, Fort Smith, Arkansas |
Authorized Official Name and Position | Richard H Barrett (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 4795613144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Richard H Barrett, Ii, Plc 5601 Duncan Rd Fort Smith AR 72903-3211 Ph: (479) 561-3144 | Richard H Barrett, Ii, Plc 5601 Duncan Rd Fort Smith AR 72903-3211 Ph: (479) 561-3144 |
NPI Number | 1790107431 |
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Provider Enumeration Date | 01/15/2014 |
Last Update Date | 09/08/2014 |
Medicare PECOS PAC ID | 3375772163 |
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Medicare Enrollment ID | O20140127000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790107431 | NPI | - | NPPES |
1306890991 | Other | AR | NPI 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 97-13P (Arkansas) | Primary |
Provider Name | Richard H Barrett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306890991 PECOS PAC ID: 4486778321 Enrollment ID: I20100830001116 |
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