Provider Demographics
NPI:1801943790
Name:SPEAR, BARBARA SUE (MA MFT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SUE
Last Name:SPEAR
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1558 LA JOLLA DR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2331
Mailing Address - Country:US
Mailing Address - Phone:805-371-9748
Mailing Address - Fax:805-371-9749
Practice Address - Street 1:2660 TOWNSGATE RD STE 530
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5711
Practice Address - Country:US
Practice Address - Phone:805-794-5359
Practice Address - Fax:805-371-9749
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist