Individual
DR. ELAINE O BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
(931) 433-4375
Mailing address
PO BOX 933, FAYETTEVILLE, TN 37334-0933
(931) 433-4375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16294
BCBS
TN
Enumeration date
08/10/2005
Last updated
08/27/2007
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