Provider Demographics
NPI:1972650562
Name:BARRY A. HALOTE, PH. D. - APC
Entity Type:Organization
Organization Name:BARRY A. HALOTE, PH. D. - APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALOTE
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:818-752-3330
Mailing Address - Street 1:12520 MAGNOLIA BLVD
Mailing Address - Street 2:SUITE #302
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2336
Mailing Address - Country:US
Mailing Address - Phone:818-752-3330
Mailing Address - Fax:818-508-4820
Practice Address - Street 1:12520 MAGNOLIA BLVD
Practice Address - Street 2:SUITE #302
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-2336
Practice Address - Country:US
Practice Address - Phone:818-752-3330
Practice Address - Fax:818-508-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 10111103G00000X, 103T00000X, 103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty