Provider Demographics
NPI:1851501787
Name:AARONSON, BARRY LOUIS (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:LOUIS
Last Name:AARONSON
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4199 CAMPUS DR
Mailing Address - Street 2:STE.550
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-4684
Mailing Address - Country:US
Mailing Address - Phone:949-760-6500
Mailing Address - Fax:949-509-6599
Practice Address - Street 1:4199 CAMPUS DR
Practice Address - Street 2:STE.550
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-4684
Practice Address - Country:US
Practice Address - Phone:949-760-6500
Practice Address - Fax:949-509-6599
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 6193103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP6193Medicare ID - Type UnspecifiedPSYCHOLOGY