MEDICARE: MS. BARBARA ANN HUFF-MCTYER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS10142	CA

General Provider Information

NPI Number	:	1548273998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ANN HUFF-MCTYER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 927511
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92192-7511
Country	:	US
Telephone Number	:	858-550-9561
Fax Number	:	858-547-9390

Provider Business Practice Location Address
First Line	:	5230 CARROLL CANYON ROAD
Second Line	:	STE. 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92121
Country	:	US
Telephone Number	:	858-550-9561
Fax Number	:	858-547-9390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/07/2011

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