Provider Demographics
NPI:1508132713
Name:BARBERA, LUCY ELIZABETH (PHD, LCAT)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:ELIZABETH
Last Name:BARBERA
Suffix:
Gender:F
Credentials:PHD, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 253
Mailing Address - Street 2:61 COLD BROOK RD.
Mailing Address - City:BEARSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12409
Mailing Address - Country:US
Mailing Address - Phone:345-417-4558
Mailing Address - Fax:
Practice Address - Street 1:401 MAIN ST
Practice Address - Street 2:ROSEN DALE FAMILY THERAPY CENTER
Practice Address - City:ROSENDALE
Practice Address - State:NY
Practice Address - Zip Code:12472
Practice Address - Country:US
Practice Address - Phone:845-657-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0008391221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist