Provider Demographics
NPI:1003857004
Name:ARACHTINGI, BARRIE (PHD)
Entity Type:Individual
Prefix:
First Name:BARRIE
Middle Name:
Last Name:ARACHTINGI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BARRIE
Other - Middle Name:
Other - Last Name:MARINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3510 CLINTON PL
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2195
Mailing Address - Country:US
Mailing Address - Phone:785-843-2429
Mailing Address - Fax:
Practice Address - Street 1:3510 CLINTON PL
Practice Address - Street 2:SUITE 320
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2195
Practice Address - Country:US
Practice Address - Phone:785-843-2429
Practice Address - Fax:785-843-7386
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP0993103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P72000Medicare UPIN