Provider Demographics
NPI:1518040062
Name:WARREN, BARBARA S (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:WARREN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 PEACH DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11576
Mailing Address - Country:US
Mailing Address - Phone:516-724-0122
Mailing Address - Fax:516-621-5109
Practice Address - Street 1:85 PEACH DRIVE
Practice Address - Street 2:
Practice Address - City:EAST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11576
Practice Address - Country:US
Practice Address - Phone:516-724-0122
Practice Address - Fax:516-621-5109
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0023131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health