MEDICARE: BARRIE ARACHTINGI PHD

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	103T00000X	Psychologist	LP0993	KS

General Provider Information

NPI Number	:	1003857004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRIE ARACHTINGI PHD

Provider Business Mailing Address
First Line	:	3510 CLINTON PL
Second Line	:	SUITE 320
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2195
Country	:	US
Telephone Number	:	785-843-2429
Fax Number	:

Provider Business Practice Location Address
First Line	:	3510 CLINTON PL
Second Line	:	SUITE 320
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2195
Country	:	US
Telephone Number	:	785-843-2429
Fax Number	:	785-843-7386

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	08/09/2013

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