Barbour, Mary

Barbour, Mary is an individual health care provider with primary practice located at 640 Woodlawn Ave , Venice CA 90291-4851. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Barbour, Mary can be contacted via phone (310) 694-3809.

Contact Information

Primary practice address
640 Woodlawn Ave Venice CA 90291-4851
Phone: (310) 694-3809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 906058 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 111082 California

Profile Details

NPI number 1073034187
LBN Legal business name Barbour, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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