MEDICARE: T. M. BARRATT, PHD, PLLC

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	261QM0850X	Adult Mental Health Clinic/Center	4564	AZ

General Provider Information

NPI Number	:	1023496825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T. M. BARRATT, PHD, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1861
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85001-1861
Country	:	US
Telephone Number	:	480-779-9855
Fax Number	:

Provider Business Practice Location Address
First Line	:	7227 N 16TH ST STE 219
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5257
Country	:	US
Telephone Number	:	602-216-6900
Fax Number	:	602-371-9889

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. T. M. BARRATT
Credential	:	PHD
Telephone Number	:	480-779-9855

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	05/12/2015

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