Provider Demographics
NPI:1205232055
Name:BARTON, LAURA VIRGINIA (MA, MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:VIRGINIA
Last Name:BARTON
Suffix:
Gender:F
Credentials:MA, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 E FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2011
Mailing Address - Country:US
Mailing Address - Phone:813-745-8378
Mailing Address - Fax:813-745-5445
Practice Address - Street 1:4117 E FOWLER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-2011
Practice Address - Country:US
Practice Address - Phone:813-745-8378
Practice Address - Fax:813-745-5445
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS