Provider Demographics
NPI:1851456222
Name:BARR, HARRY KYLE IV (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:KYLE
Last Name:BARR
Suffix:IV
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1608
Mailing Address - Country:US
Mailing Address - Phone:732-859-6205
Mailing Address - Fax:732-774-0675
Practice Address - Street 1:2002 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4674
Practice Address - Country:US
Practice Address - Phone:732-859-6205
Practice Address - Fax:732-774-0675
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100437000103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical