MEDICARE: DR. WILLIAM G. BARTON MFT, PHD

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	103TC1900X	Counseling Psychologist	PSY 18464	CA

General Provider Information

NPI Number	:	1598788044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM G. BARTON MFT, PHD

Provider Business Mailing Address
First Line	:	PO BOX 267
Second Line	:
City	:	BOLINAS
State	:	CA
Zip	:	94924-0267
Country	:	US
Telephone Number	:	415-775-9222
Fax Number	:	415-775-9222

Provider Business Practice Location Address
First Line	:	2166 HAYES ST
Second Line	:	SUITE 203
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-1033
Country	:	US
Telephone Number	:	415-775-9222
Fax Number	:	415-775-9222

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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