Healthcare Provider Details

I. General information

NPI: 1417081829
Provider Name (Legal Business Name): BARBARA J STEWARD MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 4TH ST STE. B
TAFT CA
93268-2433
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-763-8660
  • Fax: 661-765-8193
Mailing address:
  • Phone: 661-868-6601
  • Fax: 661-868-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC37394
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: