Doctor Name: | MR. GREGORY GEORGE BARISICH |
NPI Number: | 1063755593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 16500 |
Business Practice Address: | Bldg H-100 Santa Margarita Road Naval Hospital, Camp Pendleton (n68094) Camp Pendleton, CA - 920559151 |
Business Phone Number: | 7607250025 |
Business Fax Number: | |
Mailing Address: | Po Box 555191, Naval Hospital Camp Pendleton CAMP PENDLETON |
State: | CA |
Postal Code: | 020555191 |
Phone Number: | 7607250025 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 16500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |