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Lisa M. Barra

Psychologist

Behavioral Health & Social Service Providers

80 N Wood Rd, Ste 306, Camarillo, CA 93010-8310

PECOS Enrollment

This provider is enrolled in PECOS as LISA BARRA.

Based on the most recent information from CMS, provider Lisa M. Barra is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1093194136
Provider Type
Individual
Full Name
Barra, Lisa M.
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/21/2015
Last Updated
9/22/2017

Contact Information

Practice Location

80 N Wood Rd, Ste 306, Camarillo, CA 93010-8310

(805) 217-6106

(805) 388-0512

Mailing Location

PO Box 2496, Camarillo, CA 93011-2496

(805) 217-6106

(805) 388-0512

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY 15239 California

Lisa M. Barra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bennett, Kimberly

Pomilla, Danielle

Moland, Jill Lynn

Morris Jensen, Barbara A

Bergenstal, Karl William

Hamilton, Katherine Louise

Doc Martin Psychological Services, Inc.

Katherine Hamilton, Ph.D., A California Psychology Corporation

Johnstone, Stacy Hall

Modell, Eugene Albert