Provider Demographics
NPI:1043443799
Name:BARNEMAN, CLIFFORD E (PSY D)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:E
Last Name:BARNEMAN
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 CHELSEA ST
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1032
Mailing Address - Country:US
Mailing Address - Phone:848-459-5956
Mailing Address - Fax:732-657-1089
Practice Address - Street 1:934 CHELSEA ST
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1032
Practice Address - Country:US
Practice Address - Phone:848-459-5956
Practice Address - Fax:732-657-1089
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00470700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ35SI00470700OtherLICENSE