Provider Demographics
NPI:1861674145
Name:LABARBERA, KRISTINA JOYCE (MA, PSYD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:JOYCE
Last Name:LABARBERA
Suffix:
Gender:F
Credentials:MA, PSYD
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:JOYCE
Other - Last Name:HANGGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 WESTFALL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4610
Mailing Address - Country:US
Mailing Address - Phone:585-461-8683
Mailing Address - Fax:585-461-8545
Practice Address - Street 1:620 WESTFALL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4610
Practice Address - Country:US
Practice Address - Phone:585-461-8683
Practice Address - Fax:585-461-8545
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019477103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical