Provider Demographics
NPI:1679890792
Name:BARRY, DEANNA MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:MARIE
Last Name:BARRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DEANNA
Other - Middle Name:MARIE
Other - Last Name:INDRIOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3800 EMBASSY PKWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333
Mailing Address - Country:US
Mailing Address - Phone:330-664-8120
Mailing Address - Fax:330-664-8121
Practice Address - Street 1:3800 EMBASSY PKWY STE 260
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-8398
Practice Address - Country:US
Practice Address - Phone:330-664-8120
Practice Address - Fax:330-664-8121
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12211208000000X
OH34012037208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics