Provider Demographics
NPI:1760569537
Name:BARBER, ELIZABETH (MFT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:BARBER
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 1:1250 HARBOR BLVD #600
Mailing Address - Street 2:TELECARE YOLO STRIDES
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691
Mailing Address - Country:US
Mailing Address - Phone:916-376-8591
Mailing Address - Fax:916-376-8595
Practice Address - Street 1:1250 HARBOR BLVD #600
Practice Address - Street 2:TELECARE YOLO STRIDES
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691
Practice Address - Country:US
Practice Address - Phone:916-376-8591
Practice Address - Fax:916-376-8595
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist