Provider Demographics
NPI:1952585010
Name:BARTON, CYNTHIA SUE (MA)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SUE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:LAGUNA
Mailing Address - State:NM
Mailing Address - Zip Code:87026-0191
Mailing Address - Country:US
Mailing Address - Phone:505-552-9200
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 40 EXIT 114
Practice Address - Street 2:BUILDING 1125
Practice Address - City:LAGUNA
Practice Address - State:NM
Practice Address - Zip Code:87026-0191
Practice Address - Country:US
Practice Address - Phone:505-552-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM307385103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool