Healthcare Provider Details

I. General information

NPI: 1598982597
Provider Name (Legal Business Name): BARBARA HULSART PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 N MAIN ST SUITE 3
EAST HAMPTON NY
11937-2632
US

IV. Provider business mailing address

9 N MAIN ST SUITE 3
EAST HAMPTON NY
11937-2632
US

V. Phone/Fax

Practice location:
  • Phone: 631-329-3176
  • Fax: 815-301-1774
Mailing address:
  • Phone: 631-329-3176
  • Fax: 815-301-1774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number006320-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: