Provider Demographics
NPI:1558439810
Name:BARNETT, BECCA FLEMING (PHD)
Entity Type:Individual
Prefix:DR
First Name:BECCA
Middle Name:FLEMING
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 EUCLID AVE
Mailing Address - Street 2:1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2613
Mailing Address - Country:US
Mailing Address - Phone:415-395-6346
Mailing Address - Fax:855-204-1164
Practice Address - Street 1:435 EUCLID AVE
Practice Address - Street 2:1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2613
Practice Address - Country:US
Practice Address - Phone:415-395-6346
Practice Address - Fax:855-204-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7650OtherBIS#