Individual ProviderKerry L BarthMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5565 Grossmont Center Dr, Build. 1, Ste 223, La Mesa, CA 91942-3020(619) 800-8438PECOS EnrollmentBased on the most recent information from CMS, provider Kerry L Barth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487868618Provider TypeIndividualFull NameBarth, Kerry LTitleDr.CredentialPSYD, MFTGenderFemaleSole ProprietorYesEnumeration Date5/9/2007Last Updated2/25/2011Contact InformationPractice LocationPractice Address5565 Grossmont Center Dr, Build. 1, Ste 223, La Mesa, CA 91942-3020Phone(619) 800-8438Fax(619) 741-7798Mailing LocationMailing Address5565 Grossmont Center Dr, Build. 1, Ste 223, La Mesa, CA 91942-3020Phone(619) 800-8438Fax(619) 741-7798Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC #48425CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF #51864California