Barry Michael Backer, M.F.T.
Individual provider Active NPI Marriage & Family Therapist · Lynwood, CA
NPI 1285758243 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285758243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC30292 (CA)
- Practice address
- 3737 Martin Luther King Jr Blvd Ste 612
Lynwood, CA 90262-3537 - Phone
- (310) 603-2795
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30292 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC30292 | CA | Yes |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd Ste 612
Lynwood, CA 90262-3537
Mailing address
3737 Martin Luther King Jr Blvd Ste 612
Lynwood, CA 90262-3537
Phone (310) 603-2795
Other providers in Lynwood, CA
- B. Deirmenjian, DDS, Inc.
- B. Deirmenjian, DDS, Inc.
- Baart Behavioral Health Services, Inc.
- Baart Community Healthcare
- Baart Lynwood
- Badii Lee Dental Corporation, Inc.
- Jennifer Lynn Bailey
- Alexander Balderrama
- Marjorie Carol Ballard
- Banj Health Center, Inc.
All providers in Lynwood, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.