Provider Demographics
NPI:1811521644
Name:BARRETT, EDITH A (PHD, RN,PC)
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:A
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PHD, RN,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 THORNDIKE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8729
Mailing Address - Country:US
Mailing Address - Phone:617-852-7698
Mailing Address - Fax:
Practice Address - Street 1:9 THORNDIKE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8729
Practice Address - Country:US
Practice Address - Phone:617-852-7698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105495163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health