Individual
KENNETH J. BARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
280 N CENTRAL AVE, SUITE 305, HARTSDALE, NY 10530-1832
(914) 949-0339
(914) 949-0339
Mailing address
280 N CENTRAL AVE, SUITE 305, HARTSDALE, NY 10530-1832
(914) 949-0339
(914) 949-0339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006545
NY
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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