Provider Demographics
NPI:1184802134
Name:HABER, BARBARA FRAN (PHD MS)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:FRAN
Last Name:HABER
Suffix:
Gender:F
Credentials:PHD MS
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:FRAN
Other - Last Name:BRAUDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21 WARWICK AVENUE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4303
Mailing Address - Country:US
Mailing Address - Phone:201-224-9568
Mailing Address - Fax:201-224-5432
Practice Address - Street 1:21 WARWICK AVENUE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4303
Practice Address - Country:US
Practice Address - Phone:201-224-9568
Practice Address - Fax:201-224-5432
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ355100340700103T00000X
NJYIYS0066900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist