Individual
CHRISTINE T BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028114
ANTHEM
OH
01
—
000000525877
ANTHEM
OH
01
—
0917833
BCMH
OH
05
—
0917833
—
OH
01
—
10158570000001
PA MEDICAID
PA
01
—
221143
UNISON
OH
01
—
363342
WELLCARE
OH
01
—
5073157
AETNA
OH
01
—
P00412273
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
06/30/2011
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