Healthcare Provider Details

I. General information

NPI: 1720299886
Provider Name (Legal Business Name): DR. JOANNE C. BARBIERI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12625 HESPERIA RD
VICTORVILLE CA
92395-7720
US

IV. Provider business mailing address

12212 GLENOAKS LN
VICTORVILLE CA
92392-8777
US

V. Phone/Fax

Practice location:
  • Phone: 760-955-1777
  • Fax:
Mailing address:
  • Phone: 914-774-1434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003527-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000256-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number102261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: