Provider Demographics
NPI:1760456982
Name:BARNOVITZ, MARY ANN (MD)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:BARNOVITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2756 E BIDWELL ST
Mailing Address - Street 2:SUITE 300-223
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6414
Mailing Address - Country:US
Mailing Address - Phone:916-932-0380
Mailing Address - Fax:916-932-0381
Practice Address - Street 1:1020 SUNCAST LANE SUITE 108
Practice Address - Street 2:MINDFUL HEALTH SOLUTIONS
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762
Practice Address - Country:US
Practice Address - Phone:916-932-0380
Practice Address - Fax:916-932-0381
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA883842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry