Provider Demographics
NPI:1407919509
Name:FLEISCHER, BARBARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4286 RT 516
Mailing Address - Street 2:BARBARA FLEISCHER PHD CLINICAL PSYCHOLOGIST
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:732-583-6380
Mailing Address - Fax:732-583-0953
Practice Address - Street 1:4286 RT 516
Practice Address - Street 2:BARBARA FLEISCHER PHD CLINICAL PSYCHOLOGIST
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:732-583-6380
Practice Address - Fax:732-583-0953
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100178100103TC0700X
NY0083851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
050792OtherVALUE OPTIONS
1131283OtherHORIZON
29770OtherVBH
030854OtherMAGELLAN GREENSPRING
V49431OtherBLUE CROSS
0032179OtherGHI
050792OtherVALU OPTIONS
NJ2352800Medicaid
01030854OtherMENTAL HEALTH NETWORK
V49433OtherEMPIRE
V49433OtherEMPIRE
V49431OtherBLUE CROSS