Provider Demographics
NPI:1902083686
Name:BARRICK, G. ANTHONY
Entity Type:Individual
Prefix:DR
First Name:G.
Middle Name:ANTHONY
Last Name:BARRICK
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:BARRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:210 W GALER ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3332
Mailing Address - Country:US
Mailing Address - Phone:206-718-4488
Mailing Address - Fax:
Practice Address - Street 1:210 W GALER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3332
Practice Address - Country:US
Practice Address - Phone:206-718-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health