Provider Demographics
NPI:1770998197
Name:BARNETT, F. TODD (MA)
Entity type:Individual
Prefix:MR
First Name:F.
Middle Name:TODD
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18265 BIG BEN CT
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6805
Mailing Address - Country:US
Mailing Address - Phone:714-896-6572
Mailing Address - Fax:
Practice Address - Street 1:18265 BIG BEN CT
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6805
Practice Address - Country:US
Practice Address - Phone:714-896-6572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist