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NPI Code Detail

MEDICARE: DR. JAMES KELLY BARNETT PH.D.

MEDICARE: DR. JAMES KELLY BARNETT 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
1106H00000XMarriage & Family Therapist22LA

General Provider Information

NPI Number : 1841349552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES KELLY BARNETT PH.D.
Provider Business Mailing Address
First Line : 7101 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71203-3912
Country : US
Telephone Number : 318-237-4623
Fax Number :
Provider Business Practice Location Address
First Line : 7200 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71203-3913
Country : US
Telephone Number : 318-237-4623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES KELLY BARNETT PH.D.” Practice Location

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