Barry, Philip

Barry, Philip is an sole proprietor health care provider with primary practice located at 2600 E Southern Ave Ste C3 , Tempe AZ 85282-7609. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Barry, Philip can be contacted via phone (480) 839-6264.

Contact Information

Primary practice address
2600 E Southern Ave Ste C3 Tempe AZ 85282-7609
Phone: (480) 839-6264
Fax: (480) 839-2115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1534 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1534 Arizona

Profile Details

NPI number 1851348833
LBN Legal business name Barry, Philip
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jan 19th, 2012 - about 12 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 1851348833 NPPES
Arizona MEDICAID 078601

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