Provider Demographics
NPI:1548464167
Name:ECKSTEIN, BABARA JANE (MA)
Entity type:Individual
Prefix:MRS
First Name:BABARA
Middle Name:JANE
Last Name:ECKSTEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17547 VENTURA BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3853
Mailing Address - Country:US
Mailing Address - Phone:818-995-0368
Mailing Address - Fax:818-995-4044
Practice Address - Street 1:17547 VENTURA BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3853
Practice Address - Country:US
Practice Address - Phone:818-995-0368
Practice Address - Fax:818-995-4044
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMK8642106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist