Provider Demographics
NPI:1346324894
Name:BARTON, JANE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANN
Last Name:BARTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4420 WHITTLE SPRINGS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-1513
Mailing Address - Country:US
Mailing Address - Phone:865-688-0661
Mailing Address - Fax:865-688-5780
Practice Address - Street 1:111 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4820
Practice Address - Country:US
Practice Address - Phone:865-804-5329
Practice Address - Fax:865-312-6311
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2456103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN35859461Medicaid
TN4143334OtherBCBS
TN600021219OtherMAGELLAN
2157857OtherCOMPSYCH
TN2456OtherPSYCHOLOGIST'S LICENSE
582735OtherVALUE OPTIONS
2157857OtherCOMPSYCH