Provider Demographics
NPI:1205952967
Name:GERIATRIC BEHAVIORAL SERVICES, P.A.
Entity type:Organization
Organization Name:GERIATRIC BEHAVIORAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-841-4145
Mailing Address - Street 1:922 E 1100 RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-9425
Mailing Address - Country:US
Mailing Address - Phone:785-841-4145
Mailing Address - Fax:785-841-3087
Practice Address - Street 1:922 E 1100 RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-9425
Practice Address - Country:US
Practice Address - Phone:785-841-4145
Practice Address - Fax:785-841-3087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS679103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty