Individual
DR. BARBARA DISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
200 W 57TH ST, SUITE 1400, NEW YORK, NY 10019-3211
(646) 200-5104
Mailing address
200 W 57TH ST, SUITE 1400, NEW YORK, NY 10019-3211
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0173811
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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