Provider Demographics
NPI:1811178627
Name:BARRETT, STEVEN BRUCE (MT-BC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:BRUCE
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 112TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-5306
Mailing Address - Country:US
Mailing Address - Phone:816-943-0399
Mailing Address - Fax:
Practice Address - Street 1:100 W 112TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-5306
Practice Address - Country:US
Practice Address - Phone:816-943-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO05636225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist