Provider Demographics
NPI:1568617066
Name:WALDMAN, BARBARA ROCHELLE (LMFT 42244)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ROCHELLE
Last Name:WALDMAN
Suffix:
Gender:F
Credentials:LMFT 42244
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 W. OLYMPIC BLVD.
Mailing Address - Street 2:SUITE 358
Mailing Address - City:WEST LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-251-5327
Mailing Address - Fax:310-455-3783
Practice Address - Street 1:1134 W. OLYMPIC BLVD.
Practice Address - Street 2:SUITE 358
Practice Address - City:WEST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-251-5327
Practice Address - Fax:310-455-3783
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MFT42244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist