Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PS006230L | PA |
NPI | 1063436863 |
---|---|
Provider Name | Mrs. Lori Kay Barton |
First Address | Dover, PA 17315-4416 |
Second Address | Dover, PA 17315-4416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |