Provider Demographics
NPI:1770867756
Name:BARNETT, SELINA ANNE MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SELINA
Middle Name:ANNE MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SELINA
Other - Middle Name:ANNE MARIE
Other - Last Name:DALUZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:305 E CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6331
Mailing Address - Country:US
Mailing Address - Phone:559-737-4700
Mailing Address - Fax:559-734-1247
Practice Address - Street 1:2333 S MOONEY BLVD
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-6228
Practice Address - Country:US
Practice Address - Phone:877-960-3426
Practice Address - Fax:559-734-1247
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22504103TF0200X
CA22504103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic