Provider Demographics
NPI:1669904546
Name:BARLETTA, ZACHARY YALE (PHD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:YALE
Last Name:BARLETTA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 BROADWAY STE 904
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-8120
Mailing Address - Country:US
Mailing Address - Phone:516-398-0297
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 904
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8120
Practice Address - Country:US
Practice Address - Phone:516-398-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023303103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling