Provider Demographics
NPI:1831488055
Name:BARTON, VERNITA A (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VERNITA
Middle Name:A
Last Name:BARTON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 HUNTLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6336
Mailing Address - Country:US
Mailing Address - Phone:601-507-0653
Mailing Address - Fax:601-790-7137
Practice Address - Street 1:1508 HUNTLEY BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6336
Practice Address - Country:US
Practice Address - Phone:601-507-0653
Practice Address - Fax:601-790-7137
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3339235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist