Provider Demographics
NPI:1760723274
Name:JANKOVICH, BARBARA J (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:JANKOVICH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:J
Other - Last Name:JANKOVICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:11340 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1608
Mailing Address - Country:US
Mailing Address - Phone:818-321-3493
Mailing Address - Fax:818-337-7174
Practice Address - Street 1:11340 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1608
Practice Address - Country:US
Practice Address - Phone:818-321-3493
Practice Address - Fax:818-337-7174
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist