Provider Demographics
NPI:1457304107
Name:SMITH, BARBARA D'AMICO (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:D'AMICO
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-2815
Mailing Address - Country:US
Mailing Address - Phone:845-265-4338
Mailing Address - Fax:
Practice Address - Street 1:100 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548-1415
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:914-788-4268
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010995-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical