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NPI Code Detail

MEDICARE: DR. BREFFNI BARRETT PHD

MEDICARE:  DR. BREFFNI  BARRETT  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
1103T00000XPsychologistPSY4516CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457400483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BREFFNI BARRETT PHD
Provider Business Mailing Address
First Line : 3225 FOURTH AVENUE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5701
Country : US
Telephone Number : 619-297-7181
Fax Number : 619-297-9401
Provider Business Practice Location Address
First Line : 3225 FOURTH AVENUE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5701
Country : US
Telephone Number : 619-297-7181
Fax Number : 619-297-9401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 11/01/2010

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Directions to “ DR. BREFFNI BARRETT PHD” Practice Location

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