Provider Demographics
NPI:1851687974
Name:ANTONETTI, BARBARA P (MA, LMFT, ACS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:P
Last Name:ANTONETTI
Suffix:
Gender:F
Credentials:MA, LMFT, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 US HIGHWAY 1 STE 2
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4903
Mailing Address - Country:US
Mailing Address - Phone:561-346-8964
Mailing Address - Fax:
Practice Address - Street 1:537 US HIGHWAY 1 STE 2
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4903
Practice Address - Country:US
Practice Address - Phone:561-346-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist