Provider Demographics
NPI:1548795263
Name:BARASH, MARISSA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:
Last Name:BARASH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BLAZIER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9508
Mailing Address - Country:US
Mailing Address - Phone:724-934-2420
Mailing Address - Fax:724-934-2422
Practice Address - Street 1:500 BLAZIER DR STE 400
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9508
Practice Address - Country:US
Practice Address - Phone:724-934-2420
Practice Address - Fax:724-934-2422
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548795263OtherUPMC