Healthcare Provider Details

I. General information

NPI: 1487697397
Provider Name (Legal Business Name): RICHARD LEE BARNETT PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3884 WOODTHRUSH RD
AKRON OH
44333-1527
US

IV. Provider business mailing address

25700 SCIENCE PARK DRIVE. SUITE 200 LARNDMARK CENTRE.
BEACHWOOD OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 330-670-8511
  • Fax: 330-665-3142
Mailing address:
  • Phone: 216-831-1040
  • Fax: 216-831-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: