Provider Demographics
NPI:1043405061
Name:TOBIN, BARBARA ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:TOBIN
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 1:175 W B ST STE B1
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4515
Mailing Address - Country:US
Mailing Address - Phone:541-230-7238
Mailing Address - Fax:
Practice Address - Street 1:175 W B ST STE B1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4515
Practice Address - Country:US
Practice Address - Phone:541-230-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1344106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500735765Medicaid