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NPI Code Detail

MEDICARE: KRISTINE BARTON PHD

MEDICARE: KRISTINE BARTON 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
1103TC0700XClinical Psychologist0810-002914VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659350999
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE BARTON PHD
Provider Business Mailing Address
First Line : 1590 SLEEPY HOLLOW RD
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-7610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 TYLER RD
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-6374
Country : US
Telephone Number : 540-731-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2006
Last Update Date : 08/18/2021

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