Provider Demographics
NPI:1437327301
Name:BARNETT, MARION ELLEN (MFT)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:ELLEN
Last Name:BARNETT
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 1:99 CORTE LENOSA
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1722
Mailing Address - Country:US
Mailing Address - Phone:415-464-0531
Mailing Address - Fax:
Practice Address - Street 1:905 SIR FRANCIS DRAKE BLVD STE F
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-1589
Practice Address - Country:US
Practice Address - Phone:415-464-0531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist