Provider Demographics
NPI:1689913220
Name:BARBIERE, DEBORAH (PSYD, LAC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:BARBIERE
Suffix:
Gender:F
Credentials:PSYD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MCDONALD AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1081
Mailing Address - Country:US
Mailing Address - Phone:718-499-1675
Mailing Address - Fax:
Practice Address - Street 1:12 W 9TH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8905
Practice Address - Country:US
Practice Address - Phone:212-978-7908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012457103T00000X
NY004902171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No171100000XOther Service ProvidersAcupuncturist