Healthcare Provider Details

I. General information

NPI: 1497874853
Provider Name (Legal Business Name): JUDY BARRIOS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 WAKEFORD ST
SANTA PAULA CA
93060-1534
US

IV. Provider business mailing address

224 WAKEFORD ST
SANTA PAULA CA
93060-1534
US

V. Phone/Fax

Practice location:
  • Phone: 805-777-3555
  • Fax: 805-777-3574
Mailing address:
  • Phone: 805-777-3555
  • Fax: 805-777-3574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: