Provider Demographics
NPI:1134420250
Name:BARRY, JOSEPHINE KAY (LPC)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:KAY
Last Name:BARRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:KAY
Other - Last Name:BETTGER/SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1513
Mailing Address - Street 2:
Mailing Address - City:DELTA JUNCTION
Mailing Address - State:AK
Mailing Address - Zip Code:99737-1513
Mailing Address - Country:US
Mailing Address - Phone:907-803-2020
Mailing Address - Fax:907-895-2020
Practice Address - Street 1:MILE 266 1/2 RICHARDSON HWY
Practice Address - Street 2:
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737
Practice Address - Country:US
Practice Address - Phone:907-803-7022
Practice Address - Fax:907-895-2020
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional