Provider Information for 1588843403
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WANDA BARNES PhD., , LMHCi
Sex: Female
NPI: 1588843403
Last Updated: 2023-11-13
Certification Date: 2023-11-13
Certification Date: 2023-11-13
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588843403 | ||||||||||||||||
| Enumeration Date | 2007-10-26 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2255 18TH ST S SAINT PETERSBURG, FL 33712-3605 United States Phone: 727-374-2891 | Fax: | ||||||||||||||||
| Primary Practice Address | 3840 5TH AVE N SAINT PETERSBURG, FL 33713-7521 United States Phone: 727-367-2273 | Fax:727-800-6929 | ||||||||||||||||
| Secondary Practice Address(es) | 2255 18TH ST S | ||||||||||||||||
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