Healthcare Provider Details

I. General information

NPI: 1740902899
Provider Name (Legal Business Name): AMY BARR CAT-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2294 E 15TH ST
BROOKLYN NY
11229-4640
US

IV. Provider business mailing address

2294 E 15TH ST
BROOKLYN NY
11229-4640
US

V. Phone/Fax

Practice location:
  • Phone: 347-620-3339
  • Fax:
Mailing address:
  • Phone: 347-620-3339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number003299
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: