Provider Demographics
NPI:1104072073
Name:PATRICIA D. BARRY, PHD, APRN, LLC
Entity type:Organization
Organization Name:PATRICIA D. BARRY, PHD, APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-231-8717
Mailing Address - Street 1:60 LINNARD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1234
Mailing Address - Country:US
Mailing Address - Phone:860-231-8717
Mailing Address - Fax:860-231-7477
Practice Address - Street 1:60 LINNARD RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1234
Practice Address - Country:US
Practice Address - Phone:860-231-8717
Practice Address - Fax:860-231-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty