Provider Demographics
NPI:1023496825
Name:T. M. BARRATT, PHD, PLLC
Entity type:Organization
Organization Name:T. M. BARRATT, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:T.
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARRATT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-779-9855
Mailing Address - Street 1:PO BOX 1861
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85001-1861
Mailing Address - Country:US
Mailing Address - Phone:480-779-9855
Mailing Address - Fax:
Practice Address - Street 1:7227 N 16TH ST STE 219
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5257
Practice Address - Country:US
Practice Address - Phone:602-216-6900
Practice Address - Fax:602-371-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4564261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health