Provider Demographics
NPI:1518290121
Name:SMITH-BARNES, VIVIAN DENISE
Entity Type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:DENISE
Last Name:SMITH-BARNES
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 1:271 WHIPPLE ST
Mailing Address - Street 2:3
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-1727
Mailing Address - Country:US
Mailing Address - Phone:617-448-3092
Mailing Address - Fax:
Practice Address - Street 1:271 WHIPPLE ST
Practice Address - Street 2:3
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1727
Practice Address - Country:US
Practice Address - Phone:617-448-3092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health