Organization
KATHY D. BARNETT, PHD. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY D. BARNETT PH.D. (OWNER/MANAGER)
(801) 243-2273
Entity
Organization
Contact information
Practice address
2040 MURRAY HOLLADAY RD, SUITE 211, HOLLADAY, UT 84117-5185
(801) 272-5083
Mailing address
PO BOX 17661, HOLLADAY, UT 84117-0661
(801) 243-2273
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
212620-2501
UT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
212620-2501
UT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2126202501
UT
3104A0625X
Assisted Living Facility (Mental Illness)
212620-2501
UT
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
212620-2501
UT
311500000X
Alzheimer Center (Dementia Center)
212620-2501
UT
311ZA0620X
Adult Care Home Facility
212620-2501
UT
314000000X
Skilled Nursing Facility
212620-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710151592
PERSONAL NPI
UT
Enumeration date
10/30/2009
Last updated
10/30/2009
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