Provider Demographics
NPI:1366536922
Name:TUBER-SOOY, BARBARA EILEEN (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:EILEEN
Last Name:TUBER-SOOY
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:EILEEN
Other - Last Name:SOOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:128 BRIA COURT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3455
Mailing Address - Country:US
Mailing Address - Phone:925-930-6717
Mailing Address - Fax:925-945-8209
Practice Address - Street 1:45 QUAIL COURT
Practice Address - Street 2:SUITE 102
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-930-6717
Practice Address - Fax:925-945-8209
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35518106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist