Michael Barraza is a Clinical in Lakewood, California. Michael Barraza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Barraza is 1174641302. The last update date is 2012-06-13.
Michael Barraza's current location address is 4060 Watson Plaza Dr, Lakewood, California. You can contact this provider via phone number 5624206325. The mailing address for Michael Barraza is 4060 Watson Plaza Dr, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Barraza |
|---|---|
| Address | 4060 Watson Plaza Dr, Lakewood, California |
| Phone Number | 5624206325 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174641302 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2012-06-13 |
Provider Mailing Address Detail
| Address | 4060 Watson Plaza Dr |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907124033 |
| Phone Number | 5624206325 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 23994 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Michael Barraza by the Centers for Medicare & Medicaid Services?
The Michael Barraza has been assigned the NPI (National Provider Identifier) 1174641302. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Barraza is physically located?
The Michael Barraza is physically situated at the following address: 4060 Watson Plaza Dr, Lakewood, CA, 907124033.
What is Michael Barraza's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Barraza is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174641302 to Michael Barraza?
The Centers for Medicare & Medicaid Services originally issued the 1174641302 to Michael Barraza on 2007-03-26.
When was the information related to Michael Barraza most recently updated or refreshed?
The details pertaining to the Michael Barraza, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-13.