Basic Information
Provider Information
NPI: 1720299886
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBIERI
FirstName: JOANNE
MiddleName: C.
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12212 GLENOAKS LN
Address2:  
City: VICTORVILLE
State: CA
PostalCode: 923928777
CountryCode: US
TelephoneNumber: 9147741434
FaxNumber:  
Practice Location
Address1: 12625 HESPERIA RD
Address2:  
City: VICTORVILLE
State: CA
PostalCode: 923957720
CountryCode: US
TelephoneNumber: 7609551777
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 02/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X003527-1NYN Behavioral Health & Social Service ProvidersCounselorMental Health
106H00000X000256-1NYN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
106H00000X102261CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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