Individual
RYAN PATRICK BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018988600
—
FL
01
—
PY9489
FL LICENSE
FL
Enumeration date
08/13/2013
Last updated
04/17/2024
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