Provider Demographics
NPI:1770602369
Name:BARLOW, STEVEN (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BARLOW
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 1:7336 188TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1728
Mailing Address - Country:US
Mailing Address - Phone:718-454-7534
Mailing Address - Fax:718-454-7534
Practice Address - Street 1:7336 188TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1728
Practice Address - Country:US
Practice Address - Phone:718-454-7534
Practice Address - Fax:718-454-7534
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007203103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0049117OtherGHI PROVIDER NUMBER
NY00787260Medicaid
NY146905OtherVALUE OPTIONS PROVIDER NU
NY0049117OtherGHI PROVIDER NUMBER