Barry, Laura Marie
Barry, Laura Marie is an sole proprietor health care provider with primary practice located at 2018 Fort Bragg Rd Suite 114A, Fayetteville NC 28303-7037. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Barry, Laura Marie can be contacted via phone (910) 485-0940.Contact Information
Primary practice address
2018 Fort Bragg Rd Suite 114A
Fayetteville NC 28303-7037
Phone: (910) 485-0940
Fax: (910) 323-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002965 | North Carolina |
Profile Details
| NPI number | 1023086311 |
|---|---|
| LBN Legal business name | Barry, Laura Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Oct 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023086311 | NPPES |
| North Carolina | MEDICAID | 6002394 | |
| North Carolina | Other | 061713760 | |
| North Carolina | Other | 133NR |
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