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Contact Information

BARBARA J MODISETTE, ED.D., LPC, NCSP,
3601 GILMER RD
101
LONGVIEW, TX75604-1220
 Phone: 903-759-6147
 Fax: 903-759-4948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Local Education Agency (LEA)

251300000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BARBARA J MODISETTE · (Female)

NPI Number 1245316207
Status Active
Credentials ED.D., LPC, NCSP,
Entity Individual
Enumeration date 10/31/2006
Last updated 04/18/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 0142
  • TX License # 05880
  • TX License # 10134
  • TX License # 29020
  • TX License # 31654
  • TX License # 5880
  • TX License # 6712-01
  • TX License # 9559
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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