Provider Demographics
NPI:1922155944
Name:EISOLD, BARBARA K (BARBARA EISOLD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:K
Last Name:EISOLD
Suffix:
Gender:F
Credentials:BARBARA EISOLD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 CENTRAL PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6597
Mailing Address - Country:US
Mailing Address - Phone:212-316-5914
Mailing Address - Fax:212-932-3165
Practice Address - Street 1:353 CENTRAL PARK W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6597
Practice Address - Country:US
Practice Address - Phone:212-316-5914
Practice Address - Fax:212-932-3165
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006262-1103T00000X, 103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0062724OtherGHI