Individual provider · NPI-1

Dr. Jalisa Arlene Barnes, PsyD

Psychologist, School · Lynbrook, NY

NPI number1194252072
StatusActive
Last updated in NPPESAug 18, 2020

Details

NPI
1194252072
Entity type
Individual (NPI-1)
Name
Dr. Jalisa Arlene Barnes
Credential
PsyD
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2017
Certification date
Aug 18, 2020
Last updated
Aug 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School967352151NYYes

Practice location

303 Merrick Rd Ste 302
Lynbrook, NY 11563-2501

Phone 212-564-2350

Mailing address

530 Madison St
Brooklyn, NY 11221-1605

Phone 347-679-2916

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