Brink, Barry R.

Brink, Barry R. is an individual health care provider with primary practice located at 110 Radnor Rd Suite 101, State College PA 16801-7987. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Brink, Barry R. can be contacted via phone (814) 867-0670.

Contact Information

Primary practice address
110 Radnor Rd Suite 101 State College PA 16801-7987
Phone: (814) 867-0670
Fax: (814) 867-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS008801L Pennsylvania

Profile Details

NPI number 1053311217
LBN Legal business name Brink, Barry R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 13th, 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 1053311217 NPPES
Pennsylvania Other 725241 HIGHMARK

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