1063577062 NPI number — MRS. KATHY LAVERNE BARRON LCSW

Table of content: MRS. KATHY LAVERNE BARRON LCSW (NPI 1063577062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063577062 NPI number — MRS. KATHY LAVERNE BARRON LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARRON
Provider First Name:
KATHY
Provider Middle Name:
LAVERNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063577062
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1789 W. YOSEMITE AVE.
Provider Second Line Business Mailing Address:
SIERRA BUILDING, 1ST FLOOR
Provider Business Mailing Address City Name:
MANTECA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-858-7767
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1789 W. YOSEMITE AVE.
Provider Second Line Business Practice Location Address:
SIERRA BUILDING, 1ST FLOOR
Provider Business Practice Location Address City Name:
MANTECA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-858-7767
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LCS 19017 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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