Individual
MR. BARRY HERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6 LANDMARK SQ FL 4, STAMFORD, CT 06901-2704
(917) 705-5458
Mailing address
2435 BEDFORD ST UNIT 3B, STAMFORD, CT 06905-3989
(917) 705-5458
(718) 261-0087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
011044
CT
1041C0700X
Clinical Social Worker
Primary
R031822-1
NY
Other
Enumeration date
11/23/2006
Last updated
07/05/2023
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