Provider Demographics
NPI:1558075960
Name:BARTON, SHERRY L
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:L
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 FOXCROFT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-9283
Mailing Address - Country:US
Mailing Address - Phone:336-429-8557
Mailing Address - Fax:
Practice Address - Street 1:131 FOXCROFT DR
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-9283
Practice Address - Country:US
Practice Address - Phone:336-429-8557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician