Provider Demographics
NPI:1285203356
Name:BARRICK, TRENTON D
Entity Type:Individual
Prefix:MR
First Name:TRENTON
Middle Name:D
Last Name:BARRICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S PARK RD APT 210
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8728
Mailing Address - Country:US
Mailing Address - Phone:502-403-8539
Mailing Address - Fax:
Practice Address - Street 1:420 S PARK RD APT 210
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8728
Practice Address - Country:US
Practice Address - Phone:502-403-8539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty