Provider Demographics
NPI:1043487408
Name:ROSS, BARBARA P (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:P
Last Name:ROSS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EAST 33RD STREET APT 29D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4832
Mailing Address - Country:US
Mailing Address - Phone:212-684-5648
Mailing Address - Fax:212-684-5648
Practice Address - Street 1:200 EAST 33RD STREET APT 29D
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016-4832
Practice Address - Country:US
Practice Address - Phone:212-684-5648
Practice Address - Fax:212-684-5648
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4447300OtherMAGELLAN HLTH SERVICES
5702082OtherAETNA