Individual
DR. DECLAN T BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2552
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004082260
—
CT
05
—
004082286
—
CT
05
—
008001325
—
CT
05
—
008003745
—
CT
05
—
008022622
—
CT
05
—
008022626
—
CT
05
—
008048393
—
CT
05
—
500000315
—
CT
Enumeration date
08/09/2013
Last updated
01/24/2022
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