Provider Demographics
NPI:1619097953
Name:VARGA-MAHLER, BARBARA KATALINA (MFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KATALINA
Last Name:VARGA-MAHLER
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 1:1761 HOTEL CIR S # 113
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3318
Mailing Address - Country:US
Mailing Address - Phone:619-800-3566
Mailing Address - Fax:619-487-1372
Practice Address - Street 1:1761 HOTEL CIR S # 113
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3318
Practice Address - Country:US
Practice Address - Phone:619-800-3566
Practice Address - Fax:619-487-1372
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41302106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11614750OtherCAQH