Provider Demographics
NPI:1710078647
Name:BARTON, DEBORAH ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:BARTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:BRAVENEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NONE
Mailing Address - Street 1:3930 ORIOLE COURT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8173
Mailing Address - Country:US
Mailing Address - Phone:979-703-4836
Mailing Address - Fax:432-264-4882
Practice Address - Street 1:3930 ORIOLE COURT
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8173
Practice Address - Country:US
Practice Address - Phone:979-703-4836
Practice Address - Fax:432-264-4882
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26875103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling