Provider Demographics
NPI:1700905114
Name:SPARKMAN-BARNES, LYNETTE S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNETTE
Middle Name:S
Last Name:SPARKMAN-BARNES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 PARALLEL PKWY
Mailing Address - Street 2:500
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2010
Mailing Address - Country:US
Mailing Address - Phone:913-909-4811
Mailing Address - Fax:
Practice Address - Street 1:8101 PARALLEL PKWY
Practice Address - Street 2:500
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2010
Practice Address - Country:US
Practice Address - Phone:913-909-4811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1237103TC0700X
MOR0501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical