Provider Demographics
NPI:1992085765
Name:BARRETO, OLGA A (MED)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:A
Last Name:BARRETO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 421163
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742
Mailing Address - Country:US
Mailing Address - Phone:407-922-9241
Mailing Address - Fax:407-343-6006
Practice Address - Street 1:1320 N. MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5844
Practice Address - Country:US
Practice Address - Phone:407-922-9241
Practice Address - Fax:407-343-6006
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker