Organization
ROLAND I BARACH PHD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND BARACH PHD (PRESIDENT)
(206) 439-1762
Entity
Organization
Contact information
Practice address
8015 SE 28TH ST, #201, MERCER ISLAND, WA 98040-2910
(206) 439-1762
Mailing address
PO BOX 1333, MERCER ISLAND, WA 98040-1333
(206) 439-1762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
555
WA
103TC0700X
Clinical Psychologist
583
WA
Other
Enumeration date
07/13/2007
Last updated
06/24/2008
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