Individual
EDWIN T BARRETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
222 PIEDMONT AVE, SUITE 3200, CINCINNATI, OH 45219
(513) 475-8730
(513) 475-8033
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611136
—
OH
01
—
680004445
MEDICARE RAILROAD
OH
Enumeration date
06/26/2006
Last updated
01/08/2018
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