Provider Demographics
NPI:1518543750
Name:DR. JENNIFER BARTON, PSY.D, PLLC
Entity Type:Organization
Organization Name:DR. JENNIFER BARTON, PSY.D, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-562-9432
Mailing Address - Street 1:754 THE ALAMEDA APT 4316
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3181
Mailing Address - Country:US
Mailing Address - Phone:305-562-9432
Mailing Address - Fax:
Practice Address - Street 1:754 THE ALAMEDA APT 4316
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-3181
Practice Address - Country:US
Practice Address - Phone:305-562-9432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health