MEDICARE: DR. JULIE ELLEN BARNES 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	013197	NY

General Provider Information

NPI Number	:	1013040567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ELLEN BARNES PHD

Provider Business Mailing Address
First Line	:	13 W 13TH ST APT 3FS
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7928
Country	:	US
Telephone Number	:	212-243-4466
Fax Number	:	212-243-3332

Provider Business Practice Location Address
First Line	:	60 W 13TH ST APT LA
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7913
Country	:	US
Telephone Number	:	212-243-4466
Fax Number	:	212-243-3332

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/05/2022

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