Provider Demographics
NPI:1861265977
Name:BARNETT, ANDREW PETER (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PETER
Last Name:BARNETT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MOUNTAIN ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-1659
Mailing Address - Country:US
Mailing Address - Phone:202-594-7386
Mailing Address - Fax:
Practice Address - Street 1:5 MOUNTAIN ST APT 3R
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-1659
Practice Address - Country:US
Practice Address - Phone:202-594-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS02194103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist