Provider Demographics
NPI:1962553495
Name:BARBEE, MICHAEL (PSYD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:BARBEE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 E LILY ST
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5006
Mailing Address - Country:US
Mailing Address - Phone:415-235-1927
Mailing Address - Fax:
Practice Address - Street 1:603 E LILY ST
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5006
Practice Address - Country:US
Practice Address - Phone:415-235-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18544103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist