Doctor Name: | CARYN A BARTNIK |
NPI Number: | 1255447579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D |
License Number: | 0125151 |
Business Practice Address: | 2430 Bowen Rd Elma, NY - 140599385 |
Business Phone Number: | 7163160577 |
Business Fax Number: | |
Mailing Address: | Po Box 223, 2430 Bowen Road ELMA |
State: | NY |
Postal Code: | 140590223 |
Phone Number: | 7163160577 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0125151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |