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Individual
JANICE BARTLESON
Active
Individual
JANICE BARTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012039-1
NY
174400000X
Specialist
Primary
012039-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01595160
—
NY
05
—
02077181
—
NY
01
—
P010012039
BLUE CHOICE
NY
Enumeration date
06/01/2006
Last updated
06/27/2008
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