MEDICARE: MS. ELIZABETH BARBER MFT

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	106H00000X	Marriage & Family Therapist	MFC39226	CA

General Provider Information

NPI Number	:	1760569537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH BARBER MFT

Provider Business Mailing Address
First Line	:	1250 HARBOR BLVD #600
Second Line	:	TELECARE YOLO STRIDES
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691
Country	:	US
Telephone Number	:	916-376-8591
Fax Number	:	916-376-8595

Provider Business Practice Location Address
First Line	:	1250 HARBOR BLVD #600
Second Line	:	TELECARE YOLO STRIDES
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691
Country	:	US
Telephone Number	:	916-376-8591
Fax Number	:	916-376-8595

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/30/2008

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