Provider Demographics
NPI:1609082296
Name:SENZON, BARBARA E (MFT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:SENZON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 RIVIERA DR S
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-8521
Mailing Address - Country:US
Mailing Address - Phone:516-798-6619
Mailing Address - Fax:
Practice Address - Street 1:321 RIVIERA DR S
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-8521
Practice Address - Country:US
Practice Address - Phone:516-798-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000572106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist