Provider Demographics
NPI:1376699009
Name:DEUTSCH, BARBARA (CSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WHITE FARM RD
Mailing Address - Street 2:
Mailing Address - City:WINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12594-1115
Mailing Address - Country:US
Mailing Address - Phone:845-832-7349
Mailing Address - Fax:845-832-7349
Practice Address - Street 1:15 WHITE FARM RD
Practice Address - Street 2:
Practice Address - City:WINGDALE
Practice Address - State:NY
Practice Address - Zip Code:12594-1115
Practice Address - Country:US
Practice Address - Phone:845-832-7349
Practice Address - Fax:845-832-7349
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR038261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN5M41Medicare ID - Type Unspecified