Provider Demographics
NPI:1952573263
Name:BARTON, JOANNA
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
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 1:75 ABINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4314
Mailing Address - Country:US
Mailing Address - Phone:781-740-1808
Mailing Address - Fax:
Practice Address - Street 1:3517 CAMINO DEL RIO S
Practice Address - Street 2:215
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4026
Practice Address - Country:US
Practice Address - Phone:619-584-5777
Practice Address - Fax:619-584-5760
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA99999999OtherMEDI-CAL