MEDICARE: DR. MARISSA BARASH PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1548795263	OTHER		UPMC

General Provider Information

NPI Number	:	1548795263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARISSA BARASH PSY.D.

Provider Business Mailing Address
First Line	:	500 BLAZIER DR STE 400
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	724-934-2420
Fax Number	:	724-934-2422

Provider Business Practice Location Address
First Line	:	500 BLAZIER DR STE 400
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	724-934-2420
Fax Number	:	724-934-2422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	12/08/2021

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