Provider Demographics
NPI:1073654380
Name:BARSNESS, ROY EVERETT (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:EVERETT
Last Name:BARSNESS
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 1:3121 E MADISON ST STE 208A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4260
Mailing Address - Country:US
Mailing Address - Phone:206-329-3370
Mailing Address - Fax:
Practice Address - Street 1:3121 E MADISON ST STE 208A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4260
Practice Address - Country:US
Practice Address - Phone:206-329-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1938103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist