Doctor Name: | MRS. MELISSA DIANE BARTON |
NPI Number: | 1003109679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 63480 |
Business Practice Address: | 5608 5th St # B-2 Katy, TX - 774931914 |
Business Phone Number: | 8323725900 |
Business Fax Number: | |
Mailing Address: | 11814 Amblewood Dr, MEADOWS PLACE |
State: | TX |
Postal Code: | 774771502 |
Phone Number: | 8323725900 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2011 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |