Provider Demographics
NPI:1235166554
Name:BATTIATO, RUTH C (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:C
Last Name:BATTIATO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17465
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0465
Mailing Address - Country:US
Mailing Address - Phone:210-381-7534
Mailing Address - Fax:210-829-5972
Practice Address - Street 1:1804 NE LOOP 410
Practice Address - Street 2:220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5211
Practice Address - Country:US
Practice Address - Phone:210-381-7534
Practice Address - Fax:210-829-5972
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19156235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148700101Medicaid
189825595303OtherHUMANA INSURANCE
TX528587OtherBLUE CROSS BLUE SHIELD
12125917OtherCAQH