Provider Demographics
NPI:1932394616
Name:BARRY-AYRES, KRISTIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:BARRY-AYRES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WASHINGTON ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-1817
Mailing Address - Country:US
Mailing Address - Phone:781-966-3997
Mailing Address - Fax:781-907-7945
Practice Address - Street 1:50 N PLAINS HWY
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492
Practice Address - Country:US
Practice Address - Phone:203-774-0008
Practice Address - Fax:203-774-0031
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002320235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist