Individual provider · NPI-1

Michael Lee Barclay

Registered Nurse, Psych/Mental Health, Adult · Philadelphia, PA

NPI number1083338834
StatusActive
Last updated in NPPESSep 26, 2022

Details

NPI
1083338834
Entity type
Individual (NPI-1)
Name
Michael Lee Barclay
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2022
Certification date
Sep 26, 2022
Last updated
Sep 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult95045824CAYes

Practice location

1200 Intrepid Ave
Philadelphia, PA 19112-1229

Phone 805-528-5779

Mailing address

3184 Ocean Blvd
Cayucos, CA 93430

Phone 805-400-9567

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