Individual
BARBARA ANN RUSSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30 E END AVE, 1B, NEW YORK, NY 10028-7053
(212) 737-8370
(212) 737-6416
Mailing address
30 E END AVE, 1B, NEW YORK, NY 10028-7053
(212) 737-8370
(212) 737-6416
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
011617
NY
103TC0700X
Clinical Psychologist
Primary
011617
NY
103TC2200X
Clinical Child & Adolescent Psychologist
011617
NY
103TF0000X
Family Psychologist
011617
NY
Other
Enumeration date
05/22/2007
Last updated
07/16/2007
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