Provider Demographics
NPI:1790832327
Name:FOUTS, BARBARA A (EDD,LED,LMFT,LPC,)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:FOUTS
Suffix:
Gender:F
Credentials:EDD,LED,LMFT,LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13218 LINGRE AVE
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3334
Mailing Address - Country:US
Mailing Address - Phone:858-395-0636
Mailing Address - Fax:858-486-4286
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:SUITE E4
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-395-0636
Practice Address - Fax:858-486-4286
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1507101YP2500X
CAEP1657103T00000X
OR10376867103TS0200X
CAMF21397106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790832327OtherNPPES