Individual
MS. BETH ROSENTHAL BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW R LCSW
Contact information
Practice address
102 LAUREL LANE, SAG HARBOR, NY 11963-0116
(631) 725-8510
Mailing address
PO BOX 2535, SAG HARBOR, NY 11963-0116
(631) 725-8510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R063632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3590660
CAQHH 11235360
NY
01
—
49331
UNITED HEALTH CARE
NY
01
—
7342543
VALUE OPTIONS
—
Enumeration date
03/20/2007
Last updated
07/09/2007
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