Provider Demographics
NPI:1407131584
Name:BARR, LESLIE GAIL (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:GAIL
Last Name:BARR
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 WINDERMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3044
Mailing Address - Country:US
Mailing Address - Phone:716-362-4139
Mailing Address - Fax:716-838-3764
Practice Address - Street 1:291 WINDERMERE BLVD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3044
Practice Address - Country:US
Practice Address - Phone:716-362-4139
Practice Address - Fax:716-838-3764
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO41643-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool