Provider Demographics
NPI:1689903437
Name:MACDONALD, BARBARA ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANITA
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 LIVE OAK WAY
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2619
Mailing Address - Country:US
Mailing Address - Phone:415-461-6613
Mailing Address - Fax:415-461-7920
Practice Address - Street 1:3610 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1734
Practice Address - Country:US
Practice Address - Phone:415-461-6613
Practice Address - Fax:415-461-7920
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG449872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry