MEDICARE: LAURA LEE BARNHART LMFT

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	106H00000X	Marriage & Family Therapist	LMFT10088	AZ

General Provider Information

NPI Number	:	1548490188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LEE BARNHART LMFT

Provider Business Mailing Address
First Line	:	8478 E SPEEDWAY BLVD
Second Line	:	SUITE 306
City	:	TUCSON
State	:	AZ
Zip	:	85710-1729
Country	:	US
Telephone Number	:	520-490-8395
Fax Number	:

Provider Business Practice Location Address
First Line	:	8478 E SPEEDWAY BLVD
Second Line	:	SUITE 306
City	:	TUCSON
State	:	AZ
Zip	:	85710-1729
Country	:	US
Telephone Number	:	520-490-8395
Fax Number	:

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

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	07/16/2009

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