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NPI Code Detail

MEDICARE: MS. JANET IRENE BARRYROGERS BS, MA, LCDCS, LMHC,

MEDICARE:  MS. JANET IRENE BARRYROGERS  BS, MA, LCDCS, LMHC,
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
1101Y00000XCounselorCDP00539RI
2101Y00000XCounselor536RI
3103T00000XPsychologistMHC00694RI
4103TC2200XClinical Child & Adolescent Psychologist2694RI
5106H00000XMarriage & Family TherapistCDS0070RI
6106H00000XMarriage & Family Therapist139805RI

General Provider Information

NPI Number : 1861861718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET IRENE BARRYROGERS BS, MA, LCDCS, LMHC,
Provider Business Mailing Address
First Line : 10 ORCHARD AVENUE
Second Line :
City : LINCOLN
State : RI
Zip : 02865-4716
Country : US
Telephone Number : 508-840-9447
Fax Number : 401-728-7961
Provider Business Practice Location Address
First Line : 10 ORCHARD AVENUE
Second Line :
City : LINCOLN
State : RI
Zip : 02865-4716
Country : US
Telephone Number : 508-840-9447
Fax Number : 401-728-7961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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