Provider Demographics
NPI:1619072741
Name:KINSEY, BARBARA (MFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:KINSEY
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 1:765 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-5730
Mailing Address - Country:US
Mailing Address - Phone:650-326-2020
Mailing Address - Fax:650-326-6011
Practice Address - Street 1:885 OAK GROVE AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4433
Practice Address - Country:US
Practice Address - Phone:650-326-2020
Practice Address - Fax:650-326-6011
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health