Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 000366 | VT |
N | 103TA0700X | Adult Development & Aging Psychologist | 860 | VT |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 860 | VT |
N | 103G00000X | Clinical Psychologist | 048-0000860 | VT |
N | 103TC0700X | Clinical Psychologist | 048-0000860 | VT |
NPI | 1205844883 |
---|---|
Provider Name | Dr. Richard T Barnett |
First Address | San Antonio, TX 78240-4801 |
Second Address | San Antonio, TX 78240-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006931 | BCBS GROUP DOMHA (01) | VT |
OVN3675 | (05) | VT |