Provider Demographics
NPI:1184830317
Name:DARTON, JANE (MED)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:DARTON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:HECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 WESTOVER ROAD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057
Mailing Address - Country:US
Mailing Address - Phone:856-235-6250
Mailing Address - Fax:856-235-6250
Practice Address - Street 1:1627 WAVERLY STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146
Practice Address - Country:US
Practice Address - Phone:215-732-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003785-L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling