Michael Barraza Valid NPI
Individual provider · Clinical Psychologist · Lakewood, CA
- NPI
- 1174641302
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY 23994 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-26
- Last updated
- 2012-06-13
Practice location
4060 Watson Plaza Dr
Lakewood, CA 90712-4033
(562) 420-6325