Provider Demographics
NPI:1417149816
Name:BARTON, STAFFORD WENDELL (LPC)
Entity type:Individual
Prefix:MR
First Name:STAFFORD
Middle Name:WENDELL
Last Name:BARTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 WANAQUE AVE
Mailing Address - Street 2:SECOND FLOOR (LTC)
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1844
Mailing Address - Country:US
Mailing Address - Phone:973-718-4344
Mailing Address - Fax:973-718-4344
Practice Address - Street 1:413 WANAQUE AVE
Practice Address - Street 2:SECOND FLOOR (LTC)
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1844
Practice Address - Country:US
Practice Address - Phone:973-718-4344
Practice Address - Fax:973-718-4344
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2025-05-12
Deactivation Date:2020-10-23
Deactivation Code:
Reactivation Date:2025-05-12
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00329600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional