Provider Demographics
NPI:1861517328
Name:BARRON, CLAIRE L (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:L
Last Name:BARRON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 STATE LINE RD
Mailing Address - Street 2:STE 230
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3710
Mailing Address - Country:US
Mailing Address - Phone:913-901-8223
Mailing Address - Fax:913-901-0093
Practice Address - Street 1:8010 STATE LINE RD
Practice Address - Street 2:STE 230
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3710
Practice Address - Country:US
Practice Address - Phone:913-901-8223
Practice Address - Fax:913-901-0093
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1405103T00000X
KS802103TB0200X, 103TC1900X, 103TC2200X, 103TF0000X, 103T00000X
MO01405103TB0200X, 103TC1900X, 103TC2200X, 103T00000X
KS01405103TF0000X, 103T00000X
MO0290458103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS16825014OtherBCBS PROVIDER #
KS3289063OtherAETNA PROVIDER #
KST432389Medicare ID - Type UnspecifiedMEDICARE