MEDICARE: DR. RICHARD H BARRETT II PH.D.

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	103TC0700X	Clinical Psychologist	9713P	AR

General Provider Information

NPI Number	:	1306890991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD H BARRETT II PH.D.

Provider Business Mailing Address
First Line	:	211 N 34TH ST
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-0352
Country	:	US
Telephone Number	:	479-561-3144
Fax Number	:	866-988-3317

Provider Business Practice Location Address
First Line	:	211 N 34TH ST
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-0352
Country	:	US
Telephone Number	:	479-561-3144
Fax Number	:	866-988-3317

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	10/29/2024

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