Provider Demographics
NPI:1245319425
Name:KIRSCH, BARBARA E (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:E
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 FREMONT AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6024
Mailing Address - Country:US
Mailing Address - Phone:650-559-9014
Mailing Address - Fax:650-948-6263
Practice Address - Street 1:919 FREMONT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-6024
Practice Address - Country:US
Practice Address - Phone:650-559-9014
Practice Address - Fax:650-948-6263
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9276103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOPL92760Medicare ID - Type UnspecifiedPSYCHOLOGIST