Provider Demographics
NPI:1134725021
Name:BARRIE-ANTHONY, STEVEN (PHD, PSYD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BARRIE-ANTHONY
Suffix:
Gender:M
Credentials:PHD, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-5627
Mailing Address - Country:US
Mailing Address - Phone:510-500-9722
Mailing Address - Fax:510-890-4089
Practice Address - Street 1:901 PERALTA AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-2117
Practice Address - Country:US
Practice Address - Phone:510-500-9722
Practice Address - Fax:510-890-4089
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARP286102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst