Healthcare Provider Details

I. General information

NPI: 1730687146
Provider Name (Legal Business Name): ALEXANDER ANTHONY BARNARD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 CHARTER ST
REDWOOD CITY CA
94063-2801
US

IV. Provider business mailing address

200 EDMONDS RD
REDWOOD CITY CA
94062-3813
US

V. Phone/Fax

Practice location:
  • Phone: 310-987-6052
  • Fax:
Mailing address:
  • Phone: 650-367-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: