Provider Demographics
NPI:1326716218
Name:BARRETT, DEBRA D
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:D
Last Name:BARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2036 HILLSBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32310-5715
Mailing Address - Country:US
Mailing Address - Phone:904-728-5655
Mailing Address - Fax:904-853-9059
Practice Address - Street 1:2036 HILLSBOROUGH ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32310-5715
Practice Address - Country:US
Practice Address - Phone:904-728-5655
Practice Address - Fax:904-853-9059
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver