Provider Demographics
NPI:1033245097
Name:BARKER, MELISSA D (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:D
Last Name:BARKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:D
Other - Last Name:KATZ-MCARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3288 ADAMS AVE
Mailing Address - Street 2:16290
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92176
Mailing Address - Country:US
Mailing Address - Phone:619-888-6699
Mailing Address - Fax:858-726-6203
Practice Address - Street 1:3288 ADAMS AVE
Practice Address - Street 2:16290
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92176
Practice Address - Country:US
Practice Address - Phone:619-888-6699
Practice Address - Fax:858-726-6203
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20866103TB0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral