Individual
DR. BARBARA DENISE WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9070-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085964
VALUEOPTIONS
NY
01
—
61-52350
UNITED BEHAVIORAL HEALTH
NY
Enumeration date
02/08/2007
Last updated
07/08/2007
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