Healthcare Provider Details

I. General information

NPI: 1831276609
Provider Name (Legal Business Name): DONNA MARIE BARNES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 SHADES CREEK PKWY SUITE 202A
BIRMINGHAM AL
35209-4542
US

IV. Provider business mailing address

813 SHADES CREEK PKWY SUITE 202A
BIRMINGHAM AL
35209-4542
US

V. Phone/Fax

Practice location:
  • Phone: 205-870-5678
  • Fax: 205-879-0071
Mailing address:
  • Phone: 205-870-5678
  • Fax: 205-879-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number610
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: