Provider Demographics
NPI:1407977879
Name:BARNA, ADRIENNE MOESEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:MOESEL
Last Name:BARNA
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 1:5336 GAINSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2741
Mailing Address - Country:US
Mailing Address - Phone:703-764-4482
Mailing Address - Fax:703-764-1782
Practice Address - Street 1:3615 CHAIN BRIDGE RD STE F
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3237
Practice Address - Country:US
Practice Address - Phone:703-764-4482
Practice Address - Fax:703-764-1782
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist