Barry, Declan T

Barry, Declan T is an individual health care provider with primary practice located at 495 Congress Ave , New Haven CT 06519-1312. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Barry, Declan T can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
495 Congress Ave New Haven CT 06519-1312
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2552 Connecticut

Profile Details

NPI number 1679906911
LBN Legal business name Barry, Declan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2013
Last updated Jan 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679906911 NPPES
Connecticut MEDICAID 004041000
Connecticut MEDICAID 004082260
Connecticut MEDICAID 004082286
Connecticut MEDICAID 008022626
Connecticut MEDICAID 008048393
Connecticut MEDICAID 008003745
Connecticut MEDICAID 008022622
Connecticut MEDICAID 008001325
Connecticut MEDICAID 500000315

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