Provider Demographics
NPI:1265639322
Name:WOLFE, BARRY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:WOLFE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 GLENMORE TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3061
Mailing Address - Country:US
Mailing Address - Phone:301-424-3832
Mailing Address - Fax:301-424-0995
Practice Address - Street 1:2325 GLENMORE TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3061
Practice Address - Country:US
Practice Address - Phone:301-424-3832
Practice Address - Fax:301-424-0995
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD656103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical