Sourkes, Barbara M

Sourkes, Barbara M is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Sourkes, Barbara M can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17051 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY17051 California

Profile Details

NPI number 1003942343
LBN Legal business name Sourkes, Barbara M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Apr 27th, 2024 - about last year

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 1003942343 NPPES
California MEDICAID PSY170510

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