Provider Demographics
NPI:1639479934
Name:BARCANIC, STEVE T (MA)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:T
Last Name:BARCANIC
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7360 N. LA CHOLLA BLVD.
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2305
Mailing Address - Country:US
Mailing Address - Phone:520-531-1934
Mailing Address - Fax:520-531-1938
Practice Address - Street 1:7360 N. LA CHOLLA BLVD.
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2305
Practice Address - Country:US
Practice Address - Phone:520-531-1934
Practice Address - Fax:520-531-1938
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional