1770572521 NPI number — MRS. BRENDA BARDEN BARY PHD

Table of content: MRS. BRENDA BARDEN BARY PHD (NPI 1770572521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770572521 NPI number — MRS. BRENDA BARDEN BARY PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARY
Provider First Name:
BRENDA
Provider Middle Name:
BARDEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARDEN
Provider Other First Name:
BRENDA
Provider Other Middle Name:
FAY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770572521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
145 FAWN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAVERFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19041-1117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-527-8285
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 FAWN LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAVERFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19041-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-581-7284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS003246L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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