Healthcare Provider Details

I. General information

NPI: 1700875242
Provider Name (Legal Business Name): PATRICIA KATHLEEN BARR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 LEMON RD NE
OLYMPIA WA
98506-9662
US

IV. Provider business mailing address

PO BOX 1073
OLYMPIA WA
98507-1073
US

V. Phone/Fax

Practice location:
  • Phone: 617-460-2745
  • Fax:
Mailing address:
  • Phone: 617-460-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY60234797
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60234797
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: