Individual
DR. PETER BARACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5851 PEARL RD STE 305, PARMA HEIGHTS, OH 44130-2112
(440) 845-9011
(440) 845-9013
Mailing address
5851 PEARL RD STE 305, PARMA HEIGHTS, OH 44130-2112
(440) 845-9011
(440) 845-9013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553691
—
OH
01
—
132388
ANTHEM
OH
01
—
292525359002
MEDICAL MUTUAL OF OHIO
OH
01
—
341471799030
CARESOURCE
OH
01
—
4118406
AETNA
OH
01
—
62596
CIGNA BEHAVIORAL HEALTH
OH
Enumeration date
06/28/2006
Last updated
12/17/2019
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