1982669693 NPI number — DR. GARY SCOTT BARNES PH.D.

Table of content: DR. GARY SCOTT BARNES PH.D. (NPI 1982669693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982669693 NPI number — DR. GARY SCOTT BARNES PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARNES
Provider First Name:
GARY
Provider Middle Name:
SCOTT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982669693
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27 MEETINGHOUSE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KEENE
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03431-2065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-357-2067
Provider Business Mailing Address Fax Number:
603-358-4050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MAPS COUNSELING SERVICES
Provider Second Line Business Practice Location Address:
19 FEDERAL ST.
Provider Business Practice Location Address City Name:
KEENE
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03431-3732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-358-4058
Provider Business Practice Location Address Fax Number:
603-358-4050
Provider Enumeration Date:
04/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  554 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)