Barry R. Brink in State College - Clinical Child & Adolescent
Barry R. Brink - NPI 1053311217
Barry R. Brink is a Clinical Child & Adolescent in State College, Pennsylvania. Barry R. Brink practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Barry R. Brink is 1053311217. The last update date is 2007-07-13.
Barry R. Brink's current location address is 110 Radnor Rd, State College, Pennsylvania. You can contact this provider via phone number 8148670670 and fax number 8148677616. The mailing address for Barry R. Brink is 110 Radnor Rd, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry R. Brink |
|---|---|
| Address | 110 Radnor Rd, State College, Pennsylvania |
| Phone Number | 8148670670 |
| Fax Number | 8148677616 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053311217 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 110 Radnor Rd |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168017987 |
| Phone Number | 8148670670 |
| Fax Number | 8148677616 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS008801L |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 725241 | PA | HIGHMARK |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Barry R. Brink by the Centers for Medicare & Medicaid Services?
The Barry R. Brink has been assigned the NPI (National Provider Identifier) 1053311217 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Barry R. Brink's facilities are geographically located?
The facilities of Barry R. Brink are physically situated at the following location: 110 Radnor Rd, State College, PA, 168017987.
What is the Barry R. Brink's specialty and taxonomy code?
The Barry R. Brink's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053311217 to Barry R. Brink?
The Centers for Medicare & Medicaid Services originally issued the 1053311217 to Barry R. Brink on 2005-07-28.
When was the information pertaining to Barry R. Brink most recently updated or revised?
The details related to Barry R. Brink, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-13.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH