Healthcare Provider Details

I. General information

NPI: 1427591734
Provider Name (Legal Business Name): DAVID KEITH BARTON M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NORTH TUCKER
ST. LOUIS MO
63101
US

IV. Provider business mailing address

800 NORTH TUCKER
ST. LOUIS MO
63101
US

V. Phone/Fax

Practice location:
  • Phone: 314-802-2698
  • Fax: 314-802-1983
Mailing address:
  • Phone: 314-802-2698
  • Fax: 314-802-1983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: