NPI 1386674620 · live from the CMS NPI Registry
Claben Rey M Barraca, M.D.
Psychiatry & Neurology, Psychiatry in Greenwood, SC. National Provider Identifier 1386674620, active.
NPI record
| NPI | 1386674620 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1033 Edgefield St, Greenwood, SC 29646 |
| Practice phone | 864-227-3908 |
| Mailing address | 1 Independence PT Ste 212, Greenville, SC 29615 |
| Enumerated | July 3, 2006 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 20-26987 (SC) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 26987 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.