Provider Demographics
NPI:1356715783
Name:BARRETT, DEANNA (LAT, ATC, NREMT)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LAT, ATC, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 SAVAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-3318
Mailing Address - Country:US
Mailing Address - Phone:860-690-3692
Mailing Address - Fax:
Practice Address - Street 1:350 SAVAGE HILL RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-3318
Practice Address - Country:US
Practice Address - Phone:860-690-3692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program