Healthcare Provider Details

I. General information

NPI: 1043138795
Provider Name (Legal Business Name): CHRISTINA LAUREN BARRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 37TH PL
VERO BEACH FL
32960-6562
US

IV. Provider business mailing address

6955 1ST ST SW
VERO BEACH FL
32968-9253
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-9788
  • Fax:
Mailing address:
  • Phone: 631-236-8310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: