Provider Demographics
NPI:1700182433
Name:BARAN, NANCY SUSAN
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SUSAN
Last Name:BARAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANI
Other - Middle Name:
Other - Last Name:BARAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:284 MADRONA WAY NE APT 224
Mailing Address - Street 2:NANI BARAN PSYCHOTHERAPY
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2870
Mailing Address - Country:US
Mailing Address - Phone:206-407-3256
Mailing Address - Fax:
Practice Address - Street 1:18978 FRONT ST. NE
Practice Address - Street 2:SATORI WELL BEING CENTER
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:206-407-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60656778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health