Doctor Name: | DR. HEYWOOD BARASH |
NPI Number: | 1437428745 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D |
License Number: | |
Business Practice Address: | 150 E Main St Oyster Bay, NY - 117712402 |
Business Phone Number: | 5168613200 |
Business Fax Number: | |
Mailing Address: | 43 Parma Rd, ISLAND PARK |
State: | NY |
Postal Code: | 115581515 |
Phone Number: | 5166246564 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2011 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |