Organization
PHOENIX SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT BARRY PH.D. (OWNER/PSYCHOLOGIST)
(410) 714-0077
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST, STE 4104, TOWSON, MD 21204-6808
(410) 714-0077
Mailing address
520 STEVENSON LN, TOWSON, MD 21286-7606
(410) 714-0077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04153
MD
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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