Individual
SOL BARENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1528 WALNUT ST, SUITE 2025, PHILADELPHIA, PA 19102-3604
(215) 848-6968
Mailing address
2927 MIDVALE AVE, PHILADELPHIA, PA 19129-1025
(215) 848-6968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-002669-L
PA
103TC0700X
Clinical Psychologist
Primary
PS-002669-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012865100003
—
PA
01
—
185860
BCBS
PA
Enumeration date
10/18/2006
Last updated
11/08/2007
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