Provider Demographics
NPI:1679231377
Name:BARRY, CATRINA MARIE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:MARIE
Last Name:BARRY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 FOXBORO CT
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-3868
Mailing Address - Country:US
Mailing Address - Phone:814-860-0762
Mailing Address - Fax:
Practice Address - Street 1:2500 PALERMO DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-7206
Practice Address - Country:US
Practice Address - Phone:814-860-3179
Practice Address - Fax:814-616-7400
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024943363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health