Barclay, Larissa

Barclay, Larissa is an individual health care provider with primary practice located at 17515 W 9 Mile Rd Ste 650 , Southfield MI 48075-4403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Barclay, Larissa can be contacted via phone (248) 963-8189.

Contact Information

Primary practice address
17515 W 9 Mile Rd Ste 650 Southfield MI 48075-4403
Phone: (248) 963-8189
Fax: (763) 402-7611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704196307 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704196307 Michigan

Profile Details

NPI number 1649473786
LBN Legal business name Barclay, Larissa
Credentials DNP, NP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Nov 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649473786 NPPES
Michigan Other ON99340003 MEDICARE
Michigan Other 5008674420 MEDICARE

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