Provider Demographics
NPI:1598387235
Name:E E BARCH PSYD LLC
Entity Type:Organization
Organization Name:E E BARCH PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BARCH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-247-8403
Mailing Address - Street 1:10 NAVARRO CIR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-2048
Mailing Address - Country:US
Mailing Address - Phone:540-247-8403
Mailing Address - Fax:
Practice Address - Street 1:10 NAVARRO CIR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-2048
Practice Address - Country:US
Practice Address - Phone:540-247-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health