Provider Demographics
NPI:1831915479
Name:SEYMOUR, BARRY EARL III (BS)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:EARL
Last Name:SEYMOUR
Suffix:III
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1115 FOX HILL DR APT 317
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1644
Mailing Address - Country:US
Mailing Address - Phone:231-299-4731
Mailing Address - Fax:
Practice Address - Street 1:1115 FOX HILL DR APT 317
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1644
Practice Address - Country:US
Practice Address - Phone:231-299-4731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty