Provider Demographics
NPI:1487991493
Name:BARBIERI, ANNALIZ (MA)
Entity type:Individual
Prefix:MS
First Name:ANNALIZ
Middle Name:
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3815
Mailing Address - Country:US
Mailing Address - Phone:310-316-1212
Mailing Address - Fax:310-316-4411
Practice Address - Street 1:410 CAMINO REAL
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3815
Practice Address - Country:US
Practice Address - Phone:310-316-1212
Practice Address - Fax:310-316-4411
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT10017106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAIMF 73481OtherMARRIAGE AND FAMILY THERAPIST INTERN NUMBER