Provider Demographics
NPI:1053611418
Name:WOHLANDER, BARBARA (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:WOHLANDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 VERVAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3523
Mailing Address - Country:US
Mailing Address - Phone:858-484-6998
Mailing Address - Fax:858-484-3290
Practice Address - Street 1:4147 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-2509
Practice Address - Country:US
Practice Address - Phone:619-851-3290
Practice Address - Fax:858-484-3290
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS77321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical