Provider Demographics
NPI:1730272949
Name:BARNETT, ALAN J (PHD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:BARNETT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:634 PLANK RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2033
Mailing Address - Country:US
Mailing Address - Phone:518-371-0543
Mailing Address - Fax:518-371-0588
Practice Address - Street 1:634 PLANK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-2033
Practice Address - Country:US
Practice Address - Phone:518-371-0543
Practice Address - Fax:518-371-0588
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY5241103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist