Sandra Barnes, PH.D.

Individual provider Active NPI Clinical Psychologist · La Plata, MD

NPI 1093377293 · NPPES record last updated Jul 8, 2019

Key facts

NPI
1093377293
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
06101 (MD)
Practice address
616 Charles St
La Plata, MD 20646-5937
Phone
(301) 934-3103
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06101MDMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06101 MD Yes

Addresses

Primary practice location

616 Charles St
La Plata, MD 20646-5937

Mailing address

9085 Elmer CT
La Plata, MD 20646-4416
Phone (301) 653-6999

Other names

  • Sandra Williams Former name

Other providers in La Plata, MD

All providers in La Plata, MD · Clinical Psychologist in Maryland

Sources for this page

Verify at the official NPI Registry.