Healthcare Provider Details

I. General information

NPI: 1427177401
Provider Name (Legal Business Name): TIMOTHY LEWIS BARRETT D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 06/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MAIN ST
CHATHAM NJ
07928-2408
US

IV. Provider business mailing address

227 MAIN ST
CHATHAM NJ
07928-2408
US

V. Phone/Fax

Practice location:
  • Phone: 973-635-2300
  • Fax:
Mailing address:
  • Phone: 973-635-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI0016470
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: