MEDICARE: PAUL T. BARRETT

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	103G00000X	Clinical Neuropsychologist	2796	NC
2	103T00000X	Psychologist	2796	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2820354B	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	045VA	OTHER	NC	BCBSNC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285628362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL T. BARRETT

Provider Business Mailing Address
First Line	:	PO BOX 8333
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28814-8333
Country	:	US
Telephone Number	:	828-545-7776
Fax Number	:	828-658-0361

Provider Business Practice Location Address
First Line	:	1011 TUNNEL RD STE 240
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-2060
Country	:	US
Telephone Number	:	828-545-7776
Fax Number	:	828-658-0361

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	04/21/2020

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Directions to “ PAUL T. BARRETT ” Practice Location

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