Provider Demographics
NPI:1801807854
Name:WEINSTEIN, BARRY D (PHD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:D
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:BARRY
Other - Middle Name:D
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1884 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4406
Mailing Address - Country:US
Mailing Address - Phone:914-962-1043
Mailing Address - Fax:914-962-8768
Practice Address - Street 1:1884 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4406
Practice Address - Country:US
Practice Address - Phone:914-962-1043
Practice Address - Fax:914-962-8768
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008819-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist