Provider Demographics
NPI:1790107431
Name:RICHARD H BARRETT, II, PLC
Entity Type:Organization
Organization Name:RICHARD H BARRETT, II, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:II
Authorized Official - Credentials:PHD
Authorized Official - Phone:479-561-3144
Mailing Address - Street 1:5601 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3211
Mailing Address - Country:US
Mailing Address - Phone:479-561-3144
Mailing Address - Fax:
Practice Address - Street 1:5601 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3211
Practice Address - Country:US
Practice Address - Phone:479-561-3144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR97-13P103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1306890991OtherNPI 1