Individual
COURTNEY BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8348
Mailing address
8701 W. WATERTOWN PLANK ROAD, DFCM, MILWAUKEE, WI 53226-3548
(414) 955-4669
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3475-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487183240
—
WI
Enumeration date
06/06/2017
Last updated
06/30/2017
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