SearchTexas103TS0200X

Barbara Modisette, ED.D., LPC, NCSP,

NPI 1245316207 · on the registry since 2006 · sole proprietor

Practice

Address
3601 Gilmer Rd
101
Longview, TX 75604
Phone
(903) 759-6147
Fax
(903) 759-4948

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Also registered as
101YP2500X
101YP2500X
103K00000X
103TS0200X
103TM1800X
251300000X
251300000X
251300000X
251300000X
251300000X
251300000X
251300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas