Provider Demographics
NPI:1780056028
Name:BARNES, HARRY (MED)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 WOODBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1567
Mailing Address - Country:US
Mailing Address - Phone:513-825-6688
Mailing Address - Fax:
Practice Address - Street 1:1547 WOODBRIDGE CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1567
Practice Address - Country:US
Practice Address - Phone:513-545-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCI1006843103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist