Whiteside, Barbara Denise
Whiteside, Barbara Denise is an sole proprietor health care provider with primary practice located at 10 Clearbrook Dr , Smithtown NY 11787-4805. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Whiteside, Barbara Denise can be contacted via phone (631) 979-9664.Contact Information
Primary practice address
10 Clearbrook Dr
Smithtown NY 11787-4805
Phone: (631) 979-9664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 9070-1 | New York |
Profile Details
| NPI number | 1194865923 |
|---|---|
| LBN Legal business name | Whiteside, Barbara Denise |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194865923 | NPPES |
| New York | Other | 61-52350 | UNITED BEHAVIORAL HEALTH |
| New York | Other | 085964 | UNITED BEHAVIORAL HEALTH |
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