Provider Demographics
NPI:1164503918
Name:BARNES, DARLENE J (PHD APRN)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:J
Last Name:BARNES
Suffix:
Gender:F
Credentials:PHD APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 GARRISON ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2946
Mailing Address - Country:US
Mailing Address - Phone:419-334-2200
Mailing Address - Fax:419-334-8788
Practice Address - Street 1:503 GARRISON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2946
Practice Address - Country:US
Practice Address - Phone:419-334-2200
Practice Address - Fax:419-334-8788
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3915103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP08781Medicare ID - Type Unspecified