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Contact Information

LARISSA BARCLAY, DNP, NP-C, PMHNP-BC
17515 W 9 MILE RD STE 395
SOUTHFIELD, MI48075-4400
 Phone: 248-963-8189
 Fax: 763-402-7611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LARISSA BARCLAY · (Female)

NPI Number 1649473786
Status Active
Credentials DNP, NP-C, PMHNP-BC
Entity Individual
Enumeration date 06/07/2007
Last updated 01/09/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704196307
  • MI Other 5008674420 BCBS
  • MI Other ON99340003 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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