Provider Demographics
NPI:1750316162
Name:SOMMER, BARRY ELLIOT (LEP, MFT)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:ELLIOT
Last Name:SOMMER
Suffix:
Gender:M
Credentials:LEP, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5917
Mailing Address - Country:US
Mailing Address - Phone:559-738-0644
Mailing Address - Fax:559-738-0780
Practice Address - Street 1:1212 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5917
Practice Address - Country:US
Practice Address - Phone:559-738-0644
Practice Address - Fax:559-738-0780
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP 1252103T00000X
CAMFT 19168106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist