Healthcare Provider Details

I. General information

NPI: 1497057541
Provider Name (Legal Business Name): ROBERT WILLIAM BARND LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 SENECA ST
BUFFALO NY
14210-2324
US

IV. Provider business mailing address

227 THORN AVE
ORCHARD PARK NY
14127-2600
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-0560
  • Fax: 716-828-1522
Mailing address:
  • Phone: 716-662-2040
  • Fax: 716-662-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number043152
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: