Provider Demographics
NPI:1790939692
Name:BARRY, BRYAN TIMOTHY (MSW LCSW)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:TIMOTHY
Last Name:BARRY
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STERLING MEDICAL ASSOCIATES ATTN CREDENTIALS
Mailing Address - Street 2:411 OAK STREET
Mailing Address - City:CINCINNATTI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-984-1800
Mailing Address - Fax:513-984-4909
Practice Address - Street 1:STERLING MEDICAL ASSOCIATES ATTN CREDENTIALS
Practice Address - Street 2:411 OAK STREET
Practice Address - City:CINCINNATTI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-984-1800
Practice Address - Fax:513-984-4909
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050259821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical