Provider Demographics
NPI:1407336043
Name:BARNETT, MIYA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MIYA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
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:GEVIRTZ GRADUATE SCHOOL OF EDUCATION
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA, SANTA BARBARA
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-9490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GEVIRTZ GRADUATE SCHOOL OF EDUCATION
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA, SANTA BARBARA
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-9490
Practice Address - Country:US
Practice Address - Phone:805-893-8064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent