Individual
DR. BARBARA JANE MODISETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., LPC, NCSP,
Contact information
Practice address
3601 GILMER RD, 101, LONGVIEW, TX 75604-1220
(903) 759-6147
(903) 759-4948
Mailing address
102 CRYSTAL DR, LONGVIEW, TX 75604-1207
(903) 759-6147
(903) 759-4948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5880
TX
101YP2500X
Professional Counselor
9559
TX
103K00000X
Behavior Analyst
6712-01
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
0142
TX
103TS0200X
School Psychologist
29020
TX
103TS0200X
School Psychologist
Primary
31654
TX
251300000X
Local Education Agency (LEA)
0142
TX
251300000X
Local Education Agency (LEA)
05880
TX
251300000X
Local Education Agency (LEA)
10134
TX
251300000X
Local Education Agency (LEA)
29020
TX
251300000X
Local Education Agency (LEA)
31654
TX
251300000X
Local Education Agency (LEA)
6712-01
TX
251300000X
Local Education Agency (LEA)
9559
TX
Other
Enumeration date
10/31/2006
Last updated
04/18/2014
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