Shore, Barbara S.

Shore, Barbara S. is an sole proprietor health care provider with primary practice located at 1460 7Th St Suite 302, Santa Monica CA 90401-2629. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shore, Barbara S. can be contacted via phone (310) 403-8675.

Contact Information

Primary practice address
1460 7Th St Suite 302 Santa Monica CA 90401-2629
Phone: (310) 403-8675
Fax: (310) 862-1886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MS24655 California

Profile Details

NPI number 1407069065
LBN Legal business name Shore, Barbara S.
Credentials PH.D., MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407069065 NPPES
California Other MS24655 MFT LISCENSE

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