Barbara Beebe Long, LMFT

Individual provider Active NPI Marriage & Family Therapist · Prospect, OR

NPI 1487985115 · NPPES record last updated Aug 19, 2011

Key facts

NPI
1487985115
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
36904 (CA)
Practice address
44335 Hwy 62
Prospect, OR 97536-9703
Phone
(541) 778-9360
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 36904 CA Yes

Addresses

Primary practice location

44335 Hwy 62
Prospect, OR 97536-9703

Mailing address

44335 Hwy 62
Prospect, OR 97536-9703
Phone (541) 778-9360

Other providers in Prospect, OR

All providers in Prospect, OR · Marriage & Family Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.