NPI 1083338834 · live from the CMS NPI Registry
Michael Lee Barclay
Registered Nurse, Psych/Mental Health, Adult in Philadelphia, PA. National Provider Identifier 1083338834, active.
NPI record
| NPI | 1083338834 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 1200 Intrepid Ave, Philadelphia, PA 19112 |
| Practice phone | 805-528-5779 |
| Mailing address | 3184 Ocean Blvd, Cayucos, CA 93430 |
| Enumerated | September 26, 2022 |
| Last updated | September 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 95045824 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.