Individual
DR. JALISA ARLENE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
303 MERRICK RD STE 302, LYNBROOK, NY 11563-2501
(212) 564-2350
Mailing address
530 MADISON ST, BROOKLYN, NY 11221-1605
(347) 679-2916
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
967352151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144677469
OUT OF POCKET
—
Enumeration date
05/22/2017
Last updated
08/18/2020
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