Provider Demographics
NPI:1184409260
Name:WHETSTONE, BARRY J JR
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:WHETSTONE
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10228 E NORTHWEST HWY UNIT 333
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4408
Mailing Address - Country:US
Mailing Address - Phone:469-262-9166
Mailing Address - Fax:
Practice Address - Street 1:7017 WAX BERRY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1364
Practice Address - Country:US
Practice Address - Phone:469-262-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW242971041C0700X
TX1059041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical