Barry R. Brink
Clinical Child & Adolescent Psychologist
110 Radnor Rd Suite 101
State College
, Pennsylvania 16801-7987
Barry R. Brink
Clinical Child & Adolescent Psychologist
110 Radnor Rd Suite 101
State College
, Pennsylvania 16801-7987
(814) 231-5250
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Barry R. Brink
- 830 Fairway Rd
- State College, PA
- Zip : 16803-3412
- Phone : (814) 231-5250
Second Address
- Barry R. Brink
- 110 Radnor Rd Suite 101
- State College, PA
- Zip : 16801-7987
- Fax : (814) 867-7616
- Phone : (814) 867-0670
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS008801L | PA |
National Provider Identifier
| NPI | 1053311217 |
|---|---|
| Provider Name | Barry R. Brink |
| First Address | State College, PA 16803-3412 |
| Second Address | State College, PA 16801-7987 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 13/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 725241 | HIGHMARK (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.