Provider Demographics
NPI:1235731613
Name:BATTON, DENISE M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:M
Last Name:BATTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 1/2 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-1975
Mailing Address - Country:US
Mailing Address - Phone:310-343-8090
Mailing Address - Fax:
Practice Address - Street 1:321 1/2 E 25TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-1975
Practice Address - Country:US
Practice Address - Phone:310-343-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP2980-R101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty