Basic Information
Provider Information
NPI: 1699749986
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTON
FirstName: JAMES
MiddleName: PATRICK
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 ROYAL GRANT DR
Address2:  
City: CHESAPEAKE
State: VA
PostalCode: 233228813
CountryCode: US
TelephoneNumber: 7579535652
FaxNumber: 7579537134
Practice Location
Address1: 620 JOHN PAUL JONES CIR
Address2:  
City: PORTSMOUTH
State: VA
PostalCode: 237082111
CountryCode: US
TelephoneNumber: 7579535652
FaxNumber: 7579537134
Other Information
ProviderEnumerationDate: 02/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X2202002647VAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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