Barry, Carol A

Barry, Carol A is an individual health care provider with primary practice located at 260 Grayson Rd ., Virginia Beach VA 23462-4345. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Barry, Carol A can be contacted via phone (757) 459-4640.

Contact Information

Primary practice address
260 Grayson Rd . Virginia Beach VA 23462-4345
Phone: (757) 459-4640
Fax: (757) 459-4643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701-001469 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904-001871 Virginia

Profile Details

NPI number 1518023118
LBN Legal business name Barry, Carol A
Credentials MSW, LCSW, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518023118 NPPES
Virginia MEDICAID 7118074

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