Individual provider · Type 1 NPI

Larry E. Southard, MA MFT

Marriage & Family Therapist · San Bernardino, CA

NPI number 1356304380 Active

Practice location

1255 E Highland Ave, Ste 105
San Bernardino, CA 92404

Call (909) 881-5250 Map

Fax (909) 337-2724

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC18620 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1356304380

Larry E. Southard, MA MFT's National Provider Identifier is 1356304380, issued on Apr 10, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 13, 2026.