Provider Demographics
NPI:1861861718
Name:BARRYROGERS, JANET IRENE (BS, MA, LCDCS, LMHC,)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:IRENE
Last Name:BARRYROGERS
Suffix:
Gender:F
Credentials:BS, MA, LCDCS, LMHC,
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:IRENE
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MA, LCDCS, LMHC,
Mailing Address - Street 1:10 ORCHARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4716
Mailing Address - Country:US
Mailing Address - Phone:508-840-9447
Mailing Address - Fax:401-728-7961
Practice Address - Street 1:10 ORCHARD AVENUE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4716
Practice Address - Country:US
Practice Address - Phone:508-840-9447
Practice Address - Fax:401-728-7961
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00539101Y00000X
RI536101Y00000X
RIMHC00694103T00000X
RI2694103TC2200X
RICDS0070106H00000X
RI139805106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist