Individual
TINA LANIER BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2031 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-3342
(919) 632-7641
Mailing address
9830 WYNGATE RIDGE DR, RALEIGH, NC 27617-4796
(919) 400-8493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1768
NC
103TB0200X
Cognitive & Behavioral Psychologist
1768
NC
103TH0100X
Health Service Psychologist
1768
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1768
NC
Other
Enumeration date
02/18/2008
Last updated
08/16/2019
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