Provider Demographics
NPI:1093831315
Name:BARMAN, KEVIN PATRICK (MS)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:PATRICK
Last Name:BARMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:KEVIN
Other - Middle Name:PATRICK
Other - Last Name:BARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:418 S GARFIELD AVE APT I
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3354
Mailing Address - Country:US
Mailing Address - Phone:626-572-9561
Mailing Address - Fax:
Practice Address - Street 1:1251 S GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3204
Practice Address - Country:US
Practice Address - Phone:818-549-2250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist