Provider Demographics
NPI:1871795864
Name:BARTON, MARJORIE KAY
Entity type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:KAY
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 797
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-0797
Mailing Address - Country:US
Mailing Address - Phone:573-346-4450
Mailing Address - Fax:573-346-4450
Practice Address - Street 1:1158 W US HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-6956
Practice Address - Country:US
Practice Address - Phone:573-346-4450
Practice Address - Fax:573-346-4450
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000925237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist