Provider Demographics
NPI:1316494875
Name:BARNES, AARON TYLOR (PSYD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:TYLOR
Last Name:BARNES
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 1:3204 RUECKERT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2919
Mailing Address - Country:US
Mailing Address - Phone:559-859-1081
Mailing Address - Fax:
Practice Address - Street 1:4501 N CHARLES ST
Practice Address - Street 2:COUNSELING CENTER, HU150
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2601
Practice Address - Country:US
Practice Address - Phone:443-990-1758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05806103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist