Provider Demographics
NPI:1568701159
Name:LEYTUS, BARBARA CATHERINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CATHERINE
Last Name:LEYTUS
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 1:9004 DICKS ST
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4809
Mailing Address - Country:US
Mailing Address - Phone:310-226-6139
Mailing Address - Fax:
Practice Address - Street 1:401 SHIRLEY PL
Practice Address - Street 2:110
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4151
Practice Address - Country:US
Practice Address - Phone:310-226-6139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39322106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist