Healthcare Provider Details

I. General information

NPI: 1821115197
Provider Name (Legal Business Name): ROBERTA ESPIE-BARRY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBERTA ESPIE LCSW

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E 47TH ST 1-G
NEW YORK NY
10017-2129
US

IV. Provider business mailing address

225 E 47TH ST 1-G
NEW YORK NY
10017-2129
US

V. Phone/Fax

Practice location:
  • Phone: 212-865-1796
  • Fax: 212-865-2895
Mailing address:
  • Phone: 212-865-1796
  • Fax: 212-865-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPR021437-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: