Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | OK |
NPI | 1164682910 |
---|---|
Provider Name | Jana S Barnes |
First Address | Mcalester, OK 74501-7400 |
Second Address | Mcalester, OK 74501-7400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 10/10/2011 |