Provider Demographics
NPI:1437236031
Name:HALE-SEUBERT, BARBARA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:HALE-SEUBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 N FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BURDETT
Mailing Address - State:NY
Mailing Address - Zip Code:14818-9639
Mailing Address - Country:US
Mailing Address - Phone:607-703-0510
Mailing Address - Fax:607-703-0510
Practice Address - Street 1:3835 N FALLS RD
Practice Address - Street 2:
Practice Address - City:BURDETT
Practice Address - State:NY
Practice Address - Zip Code:14818-9639
Practice Address - Country:US
Practice Address - Phone:607-703-0510
Practice Address - Fax:607-703-0510
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051452-11041C0700X
PA006461-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5617413Medicare ID - Type Unspecified
PAHA511348Medicare ID - Type Unspecified