Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 10146 | FL |
N | 103TC0700X | Clinical Psychologist | 10146 | FL |
N | 103G00000X | Clinical Psychologist | 31653 | CA |
N | 103TC0700X | Clinical Psychologist | 31653 | CA |
N | 103G00000X | Clinical Psychologist | 10146 | FL |
N | 103TC0700X | Clinical Psychologist | 10146 | FL |
Y | 103G00000X | Clinical Psychologist | 31653 | CA |
Y | 103TC0700X | Clinical Psychologist | 31653 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 10146 | FL |
NPI | 1124667795 |
---|---|
Provider Name | Dr. Jennifer Ann Barton |
First Address | San Jose, CA 95126-3181 |
Second Address | San Jose, CA 95126-3181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2019 |
Last Update Date | 18/03/2021 |