Provider Demographics
NPI:1003690447
Name:BARRIOS, TED ALLAIRE (PHD)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:ALLAIRE
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:TED
Other - Middle Name:DOUGLAS
Other - Last Name:ALLAIRE
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1515 LOCUST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5131
Mailing Address - Country:US
Mailing Address - Phone:412-232-4301
Mailing Address - Fax:
Practice Address - Street 1:1515 LOCUST ST STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5131
Practice Address - Country:US
Practice Address - Phone:412-232-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301019335103T00000X, 103G00000X
PAPS010173103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist