Provider Demographics
NPI:1871778654
Name:BARRY, KARYN ELIZABETH (MA, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:KARYN
Middle Name:ELIZABETH
Last Name:BARRY
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 DONALD PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1614
Mailing Address - Country:US
Mailing Address - Phone:917-981-1434
Mailing Address - Fax:718-720-2577
Practice Address - Street 1:49 DONALD PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1614
Practice Address - Country:US
Practice Address - Phone:917-981-1434
Practice Address - Fax:718-720-2577
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013119-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist