Provider Demographics
NPI:1427375765
Name:BARRY, LINDSAY F (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:F
Last Name:BARRY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 CHANDWORTH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6806
Mailing Address - Country:US
Mailing Address - Phone:704-941-9165
Mailing Address - Fax:
Practice Address - Street 1:4026 CHANDWORTH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-6806
Practice Address - Country:US
Practice Address - Phone:704-941-9165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7276101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional