Provider Demographics
NPI:1700013695
Name:BELCH, BARBARA D (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:D
Last Name:BELCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 W END AVE
Mailing Address - Street 2:APT 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6568
Mailing Address - Country:US
Mailing Address - Phone:917-886-6218
Mailing Address - Fax:
Practice Address - Street 1:375 W END AVE
Practice Address - Street 2:APT 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6568
Practice Address - Country:US
Practice Address - Phone:917-886-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 018136103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical