Provider Demographics
NPI:1760652028
Name:DEER, BARRY CEBON (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:CEBON
Last Name:DEER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 FULTON AVE
Mailing Address - Street 2:#55
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4909
Mailing Address - Country:US
Mailing Address - Phone:916-761-5937
Mailing Address - Fax:916-486-7557
Practice Address - Street 1:2951 FULTON AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4909
Practice Address - Country:US
Practice Address - Phone:916-486-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51150106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist