Provider Demographics
NPI:1235788332
Name:BARBER, CORNELIA WITTE (MA, LP)
Entity type:Individual
Prefix:
First Name:CORNELIA
Middle Name:WITTE
Last Name:BARBER
Suffix:
Gender:
Credentials:MA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3864
Mailing Address - Country:US
Mailing Address - Phone:929-274-3674
Mailing Address - Fax:
Practice Address - Street 1:174 LINCOLN PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3864
Practice Address - Country:US
Practice Address - Phone:929-274-3674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001239102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst