Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 015436 | NY |
Y | 103TC0700X | Clinical Psychologist | 015436 | NY |
NPI | 1013132687 |
---|---|
Provider Name | Dr. Sharen Barboza |
First Address | Utica, NY 13501-6222 |
Second Address | Utica, NY 13501-6222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |