Provider Demographics
NPI:1336695493
Name:WESTERMAN, MARIE BATTAGLIA (MA)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:BATTAGLIA
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:LOUISE
Other - Last Name:BATTAGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3829 LAGUNA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-2924
Mailing Address - Country:US
Mailing Address - Phone:972-822-5217
Mailing Address - Fax:
Practice Address - Street 1:3829 LAGUNA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-2924
Practice Address - Country:US
Practice Address - Phone:972-822-5217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9249101YM0800X
CA3335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health