Provider Demographics
NPI:1801004957
Name:BARNES-PARKER, HARRIETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRIETTE
Middle Name:
Last Name:BARNES-PARKER
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 1:40 DEVORE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5682
Mailing Address - Country:US
Mailing Address - Phone:757-825-3098
Mailing Address - Fax:
Practice Address - Street 1:7460 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3845
Practice Address - Country:US
Practice Address - Phone:757-664-6681
Practice Address - Fax:757-664-6678
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002991103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical