MEDICARE: DR. BARBARA TOBY RUMAIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1568608917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA TOBY RUMAIN PH.D.

Provider Business Mailing Address
First Line	:	1670-78 EAST 17TH STREET
Second Line	:	INTERBOROUGH DEVELOPMENTAL & CONSULTATION CENTER
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-375-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670-78 EAST 17TH STREET
Second Line	:	INTERBOROUGH DEVELOPMENTAL & CONSULTATION CENTER
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-375-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	01/06/2009

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