Doctor Name: | DR. PETER BARACH |
NPI Number: | 1396773610 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 3280 |
Business Practice Address: | 5851 Pearl Rd Ste 305 Parma Heights, OH - 441302112 |
Business Phone Number: | 4408459011 |
Business Fax Number: | 4408459013 |
Mailing Address: | 5851 Pearl Rd Ste 305, PARMA HEIGHTS |
State: | OH |
Postal Code: | 441302112 |
Phone Number: | 4408459011 |
Fax Number: | 4408459013 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |