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NPI Code Detail

MEDICARE: BARRIS D AYRES PH.D., L.P.C.

MEDICARE:   BARRIS D AYRES  PH.D., L.P.C.
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
1101YP2500XProfessional Counselor13007TX

General Provider Information

NPI Number : 1609536648
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRIS D AYRES PH.D., L.P.C.
Provider Business Mailing Address
First Line : 5668 EDWARDS RANCH RD STE 301
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4107
Country : US
Telephone Number : 877-504-8504
Fax Number : 855-420-6402
Provider Business Practice Location Address
First Line : 5668 EDWARDS RANCH RD STE 301
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4107
Country : US
Telephone Number : 877-504-8504
Fax Number : 855-420-6402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2021
Last Update Date : 12/17/2021

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Directions to “ BARRIS D AYRES PH.D., L.P.C.” Practice Location

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