Dale Gene Barron, MA, LP, LMFT
Individual provider Active NPI Clinical Psychologist · New Brighton, MN
NPI 1366467052 · NPPES record last updated Feb 27, 2017
Key facts
- NPI
- 1366467052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP0111 (MN)
- Practice address
- 1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1786 - Phone
- (651) 628-9566
- Fax
- (651) 628-0411
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0111 | MN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0190 | MN | |
| Clinical Psychologist | 103TC0700X | LP0111 | MN | Yes |
Addresses
Primary practice location
1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1786
Mailing address
1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1786
Phone (651) 628-9566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803248300 | Medicaid | MN |
Other providers in New Brighton, MN
- Bair Learning Center
- Diane Kay Baker
- Barbara a. Hanson, PH.D., PA
- Bradley Eugene Barker
- Najma Barre
- Olivia N Bates
- Lyn Marie Batten
- April Lee Bauer
- Mary Elizabeth Becker
- Ann Marie Beier
All providers in New Brighton, MN · Clinical Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.