Healthcare Provider Details

I. General information

NPI: 1689594236
Provider Name (Legal Business Name): KAYLEIGH BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 STATE ROUTE 134
LYNCHBURG OH
45142-9154
US

IV. Provider business mailing address

121 DANVILLE PIKE
HILLSBORO OH
45133-1204
US

V. Phone/Fax

Practice location:
  • Phone: 937-515-9101
  • Fax:
Mailing address:
  • Phone: 937-515-9101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: