Provider Demographics
NPI:1578887121
Name:STEVENS, BARBARA (CSMC, CHT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:CSMC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 NEW KARNER RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3883
Mailing Address - Country:US
Mailing Address - Phone:518-755-5053
Mailing Address - Fax:
Practice Address - Street 1:409 NEW KARNER RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3883
Practice Address - Country:US
Practice Address - Phone:518-755-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst