Healthcare Provider Details

I. General information

NPI: 1851501787
Provider Name (Legal Business Name): BARRY LOUIS AARONSON PSYCHOLOGIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 CAMPUS DR STE.550
IRVINE CA
92612-4684
US

IV. Provider business mailing address

4199 CAMPUS DR STE.550
IRVINE CA
92612-4684
US

V. Phone/Fax

Practice location:
  • Phone: 949-760-6500
  • Fax: 949-509-6599
Mailing address:
  • Phone: 949-760-6500
  • Fax: 949-509-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberPSY 6193
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: