MEDICARE: DR. ARLENE M BARRY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	3020	CO

General Provider Information

NPI Number	:	1952513293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARLENE M BARRY PH.D.

Provider Business Mailing Address
First Line	:	279 GARDENIA CT
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-5247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 INDIANA ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-5050
Country	:	US
Telephone Number	:	720-272-1418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/28/2013

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