Provider Demographics
NPI:1255499562
Name:BATTAR, MALLIGA SASHA (MA, PHD)
Entity Type:Individual
Prefix:MRS
First Name:MALLIGA
Middle Name:SASHA
Last Name:BATTAR
Suffix:
Gender:F
Credentials:MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 TARTER CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-3945
Mailing Address - Country:US
Mailing Address - Phone:408-265-4133
Mailing Address - Fax:
Practice Address - Street 1:501 TARTER CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-3945
Practice Address - Country:US
Practice Address - Phone:408-265-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health