Provider Demographics
NPI:1962512921
Name:JOSEPH, BARBARA A (MFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16055 VENTURA BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2605
Mailing Address - Country:US
Mailing Address - Phone:818-503-3330
Mailing Address - Fax:
Practice Address - Street 1:16055 VENTURA BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2605
Practice Address - Country:US
Practice Address - Phone:818-503-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist