Provider Demographics
NPI:1093392508
Name:BARBER, HEATHER LEANN (LMFT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEANN
Last Name:BARBER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 ESTHER ST
Mailing Address - Street 2:
Mailing Address - City:MINOA
Mailing Address - State:NY
Mailing Address - Zip Code:13116-1711
Mailing Address - Country:US
Mailing Address - Phone:315-484-6949
Mailing Address - Fax:
Practice Address - Street 1:350 RICH ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13207-1427
Practice Address - Country:US
Practice Address - Phone:315-937-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist