Individual
DR. BARRY S PROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
305 W 86TH ST, SUITE 3B, NEW YORK, NY 10024-3110
(212) 580-8769
(212) 580-8769
Mailing address
305 W 86TH ST, SUITE 3B, NEW YORK, NY 10024-3110
(212) 580-8769
(212) 580-8769
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004813-1
NY
103TF0200X
Forensic Psychologist
004813-1
NY
103TP0814X
Psychoanalysis Psychologist
004813-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01161499
—
NY
Enumeration date
05/23/2007
Last updated
02/02/2017
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