Doctor Name: | MR. STAFFORD WENDELL BARTON |
NPI Number: | 1417149816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00329600 |
Business Practice Address: | 413 Wanaque Ave Second Floor (ltc) Pompton Lakes, NJ - 074421844 |
Business Phone Number: | 9737184344 |
Business Fax Number: | 9737184344 |
Mailing Address: | 413 Wanaque Ave, Second Floor (ltc) POMPTON LAKES |
State: | NJ |
Postal Code: | 074421844 |
Phone Number: | 9737184344 |
Fax Number: | 9737184344 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00329600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |