Provider Demographics
NPI:1013040567
Name:BARNES, JULIE ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ELLEN
Last Name:BARNES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 W 13TH ST APT 3FS
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7928
Mailing Address - Country:US
Mailing Address - Phone:212-243-4466
Mailing Address - Fax:212-243-3332
Practice Address - Street 1:60 W 13TH ST APT LA
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7913
Practice Address - Country:US
Practice Address - Phone:212-243-4466
Practice Address - Fax:212-243-3332
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013197103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV78221Medicare ID - Type Unspecified