Individual
DR. MARTHA J BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
178 MIDDLE ST, SUITE 300, PORTLAND, ME 04101
(207) 774-6065
Mailing address
PO BOX 10593, PORTLAND, ME 04104
(207) 774-6065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
755
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233030000
—
ME
Enumeration date
05/16/2007
Last updated
04/22/2019
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