MEDICARE: DR. JUDITH BARNETT PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	789	NC

General Provider Information

NPI Number	:	1265412712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH BARNETT PHD

Provider Business Mailing Address
First Line	:	617 SHADYLAWN RD
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-2005
Country	:	US
Telephone Number	:	919-942-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 E FRANKLIN ST
Second Line	:	1100B FRANKLIN SQUARE
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-5861
Country	:	US
Telephone Number	:	919-942-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/08/2007

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