Provider Demographics
NPI:1205372174
Name:BATTY, REBECCA M (MS MFT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:BATTY
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 DOLPHIN DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1869
Mailing Address - Country:US
Mailing Address - Phone:608-239-0193
Mailing Address - Fax:
Practice Address - Street 1:3910 DOLPHIN DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1869
Practice Address - Country:US
Practice Address - Phone:608-239-0193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist