Provider Demographics
NPI:1396880209
Name:WIDNEY, BARBARA C (LMFTT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:C
Last Name:WIDNEY
Suffix:
Gender:F
Credentials:LMFTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 FREMONT AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5602
Mailing Address - Country:US
Mailing Address - Phone:650-852-0266
Mailing Address - Fax:
Practice Address - Street 1:851 FREMONT AVE STE 210
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5602
Practice Address - Country:US
Practice Address - Phone:650-852-0266
Practice Address - Fax:650-321-3460
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36256106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist