Provider Demographics
NPI:1780687731
Name:STAUBSINGER, ARLENE BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:BETH
Last Name:STAUBSINGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2333
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-2333
Mailing Address - Country:US
Mailing Address - Phone:315-622-2636
Mailing Address - Fax:315-622-4676
Practice Address - Street 1:8100 OSWEGO RD
Practice Address - Street 2:STE 235
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1660
Practice Address - Country:US
Practice Address - Phone:315-622-2636
Practice Address - Fax:315-622-4676
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010521-1103TC0700X, 103TC2200X, 103TF0000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist