Provider Demographics
NPI:1093235145
Name:BARNHART, DANIEL J (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:BARNHART
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 411 BOX 6218
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-1063
Mailing Address - Country:US
Mailing Address - Phone:314-599-1829
Mailing Address - Fax:
Practice Address - Street 1:CMR 411 BOX 6218
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-1063
Practice Address - Country:US
Practice Address - Phone:314-599-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY785103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical