Individual
BARRY R. BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
110 RADNOR RD, SUITE 101, STATE COLLEGE, PA 16801-7987
(814) 867-0670
(814) 867-7616
Mailing address
830 FAIRWAY RD, STATE COLLEGE, PA 16803-3412
(814) 231-5250
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS008801L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725241
HIGHMARK
PA
Enumeration date
07/28/2005
Last updated
07/13/2007
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