Provider Demographics
NPI:1366659781
Name:BARRETTI, LOUIS M (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:M
Last Name:BARRETTI
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 1:295 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5145
Mailing Address - Country:US
Mailing Address - Phone:973-226-5162
Mailing Address - Fax:973-226-5162
Practice Address - Street 1:295 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5145
Practice Address - Country:US
Practice Address - Phone:973-226-5162
Practice Address - Fax:973-226-5162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3383103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling