MEDICARE: DEBORA BARNEY M.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	2084P0800X	Psychiatry Physician	MD6957	NV

General Provider Information

NPI Number	:	1700976230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORA BARNEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 370053
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-0053
Country	:	US
Telephone Number	:	702-242-0485
Fax Number	:	702-242-0360

Provider Business Practice Location Address
First Line	:	6284 S. RAINBOW BLVD
Second Line	:	#110
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-242-0485
Fax Number	:	702-242-0360

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/08/2007

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