Provider Demographics
NPI:1265096499
Name:BARNES, ZACHARY DAVID
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DAVID
Last Name:BARNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 595
Mailing Address - Street 2:
Mailing Address - City:EPHRAIM
Mailing Address - State:UT
Mailing Address - Zip Code:84627
Mailing Address - Country:US
Mailing Address - Phone:435-283-4690
Mailing Address - Fax:435-282-4689
Practice Address - Street 1:390 W 100 N
Practice Address - Street 2:
Practice Address - City:EPHRAIM
Practice Address - State:UT
Practice Address - Zip Code:84627-2131
Practice Address - Country:US
Practice Address - Phone:435-283-8400
Practice Address - Fax:435-283-8401
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker