Walston Ernest Barbour Jr., LPC
Individual provider Active NPI Specialist · Cheverly, MD
NPI 1740418599 · NPPES record last updated Jun 30, 2009
Key facts
- NPI
- 1740418599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PRC14014 (DC)
- Practice address
- 2817 63Rd Ave
Cheverly, MD 20785-3104 - Phone
- (202) 369-4743
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14014 | DC | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PRC14014 | DC | Yes |
Addresses
Primary practice location
2817 63Rd Ave
Cheverly, MD 20785-3104
Mailing address
2817 63Rd Avenue
Cheverly, MD 20785
Phone (202) 369-4743
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.