Provider Demographics
NPI:1467668236
Name:BADER, CLAUDIA (MPS,LCAT, LP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:BADER
Suffix:
Gender:F
Credentials:MPS,LCAT, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 CENTRAL PARK W
Mailing Address - Street 2:15C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4378
Mailing Address - Country:US
Mailing Address - Phone:212-932-2446
Mailing Address - Fax:
Practice Address - Street 1:50 W 97TH ST
Practice Address - Street 2:1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6053
Practice Address - Country:US
Practice Address - Phone:212-874-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000378102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst