Provider Demographics
NPI:1346417920
Name:BARTON, WYNETTE WORD (LPC DIPLOMATE)
Entity Type:Individual
Prefix:DR
First Name:WYNETTE
Middle Name:WORD
Last Name:BARTON
Suffix:
Gender:F
Credentials:LPC DIPLOMATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1203
Mailing Address - Country:US
Mailing Address - Phone:512-747-8857
Mailing Address - Fax:512-747-8857
Practice Address - Street 1:504 W 17TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1203
Practice Address - Country:US
Practice Address - Phone:512-747-8857
Practice Address - Fax:512-747-8857
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006677102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst