Provider Demographics
NPI:1417081076
Name:BARRON, ABBE SANDRA
Entity Type:Individual
Prefix:DR
First Name:ABBE
Middle Name:SANDRA
Last Name:BARRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10631 SOMMA WAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2908
Mailing Address - Country:US
Mailing Address - Phone:310-476-7810
Mailing Address - Fax:310-476-7322
Practice Address - Street 1:10631 SOMMA WAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90077-2908
Practice Address - Country:US
Practice Address - Phone:310-476-7810
Practice Address - Fax:310-476-7322
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21730103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist