Kathleen Barrett, PSY.D.

Individual provider Active NPI Clinical Psychologist · Gainesville, VA

NPI 1780920728 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1780920728
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
0810004667 (VA)
Practice address
7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095
Phone
(571) 488-9840
Fax
(571) 488-9841
NPI assigned
Dec 19, 2012
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)
Yes

State licenses

LicenseStateTypeSpecialty
0810004667VAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004667 VA Yes

Addresses

Primary practice location

7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095

Mailing address

7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095
Phone (571) 488-9840

Other practice location 1

8140 Ashton Ave
Suite 200
Manassas, VA 20109-5698
Phone (703) 330-9933

Other providers in Gainesville, VA

All providers in Gainesville, VA · Clinical Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.