Provider Demographics
NPI:1104368364
Name:HIBBITS, BARBARA A (LMFT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:HIBBITS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:NEEDLES
Mailing Address - State:CA
Mailing Address - Zip Code:92363-4041
Mailing Address - Country:US
Mailing Address - Phone:818-519-5420
Mailing Address - Fax:
Practice Address - Street 1:5400 ROUTE 66
Practice Address - Street 2:
Practice Address - City:NEEDLES
Practice Address - State:CA
Practice Address - Zip Code:92363-4041
Practice Address - Country:US
Practice Address - Phone:818-519-5420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist