Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2543 | KS |
Y | 103TC0700X | Clinical Psychologist | 2543 | KS |
N | 1041C0700X | Clinical Social Worker | CSW0003811 | GA |
NPI | 1003919259 |
---|---|
Provider Name | Dr. Paula K Barrett |
First Address | Avondale Estates, GA 30002-1767 |
Second Address | Anderson, SC 29621-3620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 11/09/2017 |