Provider Demographics
NPI:1194316406
Name:BARRY - SCHNEIDER, J. ERIN (CAGS)
Entity type:Individual
Prefix:
First Name:J. ERIN
Middle Name:
Last Name:BARRY - SCHNEIDER
Suffix:
Gender:F
Credentials:CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S RIVER RD APT 531
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6788
Mailing Address - Country:US
Mailing Address - Phone:603-315-1384
Mailing Address - Fax:
Practice Address - Street 1:315 NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-4319
Practice Address - Country:US
Practice Address - Phone:603-315-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool