MEDICARE: ASHLEE BARTON LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37AC00419500	NJ

General Provider Information

NPI Number	:	1346716107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE BARTON LAC

Provider Business Mailing Address
First Line	:	27 GAPING ROCK RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-3409
Country	:	US
Telephone Number	:	215-431-8258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 SHEPPARD RD
Second Line	:
City	:	VOORHEES TOWNSHIP
State	:	NJ
Zip	:	08043
Country	:	US
Telephone Number	:	609-418-9141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	10/19/2018

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Directions to “ ASHLEE BARTON LAC” Practice Location

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