Provider Demographics
NPI:1841421898
Name:BARNETT, JENNIFER MARIE I (MA PSYD-INTERN)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:BARNETT
Suffix:I
Gender:F
Credentials:MA PSYD-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 SAINT GEORGE STREET #107
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-3021
Mailing Address - Country:US
Mailing Address - Phone:323-669-7373
Mailing Address - Fax:
Practice Address - Street 1:2916 SAINT GEORGE ST. #107
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-3021
Practice Address - Country:US
Practice Address - Phone:323-669-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program