Provider Demographics
NPI:1730341173
Name:PERLMUTTER, BARRY FRANK (PHD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:FRANK
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7281 FLETCHER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-5056
Mailing Address - Country:US
Mailing Address - Phone:909-266-1392
Mailing Address - Fax:
Practice Address - Street 1:7281 FLETCHER VIEW DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-5056
Practice Address - Country:US
Practice Address - Phone:909-266-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11523103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical