Individual
PHILIP BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2600 E SOUTHERN AVE STE C3, TEMPE, AZ 85282-7609
(480) 839-6264
(480) 839-2115
Mailing address
2600 E SOUTHERN AVE STE C3, TEMPE, AZ 85282-7609
(480) 839-6264
(480) 839-2115
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1534
AZ
103TC0700X
Clinical Psychologist
1534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078601
—
AZ
Enumeration date
05/27/2006
Last updated
01/19/2012
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