Healthcare Provider Details
I. General information
NPI: 1801228838
Provider Name (Legal Business Name): MRS. ASHLEY E BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2013
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
316 WILDBRIAR RD
ROCHESTER NY
14623-4236
US
IV. Provider business mailing address
316 WILDBRIAR RD
ROCHESTER NY
14623-4236
US
V. Phone/Fax
- Phone: 845-489-6788
- Fax:
- Phone: 845-489-6788
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: