Provider Demographics
NPI:1013130632
Name:LINO, BARBARA IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:IRENE
Last Name:LINO
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 1:161 W 88TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2408
Mailing Address - Country:US
Mailing Address - Phone:646-498-7256
Mailing Address - Fax:212-927-5359
Practice Address - Street 1:161 W 88TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2408
Practice Address - Country:US
Practice Address - Phone:646-498-7256
Practice Address - Fax:212-927-5359
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0088031103T00000X
NJ2875103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist