Provider Demographics
NPI:1548642200
Name:BARRAD, ALEX (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:
Last Name:BARRAD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:
Other - Last Name:BARRAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14620 DICKENS ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3603
Mailing Address - Country:US
Mailing Address - Phone:562-743-1238
Mailing Address - Fax:
Practice Address - Street 1:16111 PLUMMER ST. (116A)
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27301103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical