| Richard H Barrett, Ii, Plc | |
|
5601 Duncan Rd Fort Smith AR 72903-3211 | |
| (479) 561-3144 | |
| Not Available |
| Full Name | Richard H Barrett, Ii, Plc |
|---|---|
| Speciality | Psychologist |
| Location | 5601 Duncan Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Richard H Barrett (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4795613144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H Barrett, Ii, Plc 5601 Duncan Rd Fort Smith AR 72903-3211 Ph: (479) 561-3144 | Richard H Barrett, Ii, Plc 5601 Duncan Rd Fort Smith AR 72903-3211 Ph: (479) 561-3144 |
| NPI Number | 1790107431 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 09/08/2014 |
| Medicare PECOS PAC ID | 3375772163 |
|---|---|
| Medicare Enrollment ID | O20140127000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790107431 | NPI | - | NPPES |
| 1306890991 | Other | AR | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 97-13P (Arkansas) | Primary |
| Provider Name | Richard H Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306890991 PECOS PAC ID: 4486778321 Enrollment ID: I20100830001116 |
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