MEDICARE: DR. EDWIN BARNES ED.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	101YP2500X	Professional Counselor	C. 0008436	OH

General Provider Information

NPI Number	:	1982822474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN BARNES ED.D

Provider Business Mailing Address
First Line	:	73 CANON RDG
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2059
Country	:	US
Telephone Number	:	859-630-6635
Fax Number	:	513-357-4709

Provider Business Practice Location Address
First Line	:	9900 CINCINNATI COLUMBUS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1209
Country	:	US
Telephone Number	:	513-779-9955
Fax Number	:	513-779-9955

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/07/2009

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