Provider Demographics
NPI:1811218043
Name:SUTER, BARBARA ANN (PSYCHOLOGIST PC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:SUTER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 W END AVE
Mailing Address - Street 2:3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4314
Mailing Address - Country:US
Mailing Address - Phone:212-595-5543
Mailing Address - Fax:212-595-5543
Practice Address - Street 1:498 W END AVE
Practice Address - Street 2:3B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4314
Practice Address - Country:US
Practice Address - Phone:212-595-5543
Practice Address - Fax:212-595-5543
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV55041Medicare PIN