Provider Demographics
NPI:1790741502
Name:MOREIN, BARRRY ALAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:BARRRY
Middle Name:ALAN
Last Name:MOREIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 QUAKER RIDGE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6947
Mailing Address - Country:US
Mailing Address - Phone:610-256-1928
Mailing Address - Fax:610-565-6008
Practice Address - Street 1:205 N MONROE ST
Practice Address - Street 2:SUITE #8
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3052
Practice Address - Country:US
Practice Address - Phone:610-565-6008
Practice Address - Fax:610-565-6008
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0122511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical