Individual
JUSTIN BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, PSY
Contact information
Practice address
875 W. MORENO AVE, COLORADO SPRINGS, CO 80905
(719) 572-6100
(719) 447-4792
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004209
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/17/2013
Last updated
04/10/2015
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