Healthcare Provider Details

I. General information

NPI: 1750204491
Provider Name (Legal Business Name): BARRY PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FAYETTEVILLE ST STE 1100
RALEIGH NC
27601-3000
US

IV. Provider business mailing address

1024 W SOUTH ST
RALEIGH NC
27603-2162
US

V. Phone/Fax

Practice location:
  • Phone: 919-612-2803
  • Fax:
Mailing address:
  • Phone: 919-612-2803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NEIL BARRY
Title or Position: OWNER
Credential: PHD
Phone: 919-247-8255