Healthcare Provider Details

I. General information

NPI: 1891949178
Provider Name (Legal Business Name): TONI YVETTE BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S ARROYO PKWY SUITE 100
PASADENA CA
91105-3911
US

IV. Provider business mailing address

2043 E WAYSIDE ST
COMPTON CA
90222-2402
US

V. Phone/Fax

Practice location:
  • Phone: 626-795-8471
  • Fax: 626-449-4925
Mailing address:
  • Phone: 424-785-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: