| Organization Name: | ROLAND I BARACH PHD PS |
| NPI Number: | 1255530804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROLAND BARACH (PRESIDENT) |
| Mailing Address: | 8015 Se 28th St #201 Mercer Island |
| State: | WA US |
| Postal Code: | 980402910 |
| Phone Number: | 2064391762 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 06/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 583 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |