Provider Demographics
NPI:1902087877
Name:OLIVER, BARNEY (MS, LMFT)
Entity Type:Individual
Prefix:MR
First Name:BARNEY
Middle Name:
Last Name:OLIVER
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8839 N CEDAR AVE
Mailing Address - Street 2:236
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1832
Mailing Address - Country:US
Mailing Address - Phone:661-888-4928
Mailing Address - Fax:661-888-4928
Practice Address - Street 1:8839 N CEDAR AVE
Practice Address - Street 2:236
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1832
Practice Address - Country:US
Practice Address - Phone:661-204-9646
Practice Address - Fax:661-204-9646
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46798106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist