Provider Demographics
NPI:1841479144
Name:BARBRE, TEENA (PSYD)
Entity type:Individual
Prefix:DR
First Name:TEENA
Middle Name:
Last Name:BARBRE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:TEENA
Other - Middle Name:
Other - Last Name:HONSTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 14162
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-4162
Mailing Address - Country:US
Mailing Address - Phone:949-813-2740
Mailing Address - Fax:
Practice Address - Street 1:4425 JAMBOREE RD STE 270
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3003
Practice Address - Country:US
Practice Address - Phone:949-813-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42336106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist