Provider Demographics
NPI:1154684173
Name:BARNETT, GARY C (MS)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:C
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 HARMONY WAY
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-7807
Mailing Address - Country:US
Mailing Address - Phone:812-425-0006
Mailing Address - Fax:812-429-9655
Practice Address - Street 1:2700 W INDIANA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5637
Practice Address - Country:US
Practice Address - Phone:812-428-0698
Practice Address - Fax:812-429-9655
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor