Provider Demographics
NPI:1346716107
Name:BARTON, ASHLEE (LAC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GAPING ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-3409
Mailing Address - Country:US
Mailing Address - Phone:215-431-8258
Mailing Address - Fax:
Practice Address - Street 1:1103 SHEPPARD RD
Practice Address - Street 2:
Practice Address - City:VOORHEES TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:609-418-9141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00419500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health