Provider Demographics
NPI:1689880189
Name:FILLIPS, BARBARA J GOLDSMITH (MFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J GOLDSMITH
Last Name:FILLIPS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:GOLDSMITH
Other - Last Name:FILLIPS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:505 HENRY ST # 4
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4557
Mailing Address - Country:US
Mailing Address - Phone:315-292-2121
Mailing Address - Fax:
Practice Address - Street 1:505 HENRY ST # 4
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4557
Practice Address - Country:US
Practice Address - Phone:315-292-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32315106H00000X
NY540106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist