Provider Demographics
NPI:1508053950
Name:BATTEN, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:BATTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 S ROOP ST APT 1102
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5399
Mailing Address - Country:US
Mailing Address - Phone:609-290-3663
Mailing Address - Fax:
Practice Address - Street 1:1137 EMERALD BAY RD
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:NV
Practice Address - Zip Code:69150-6207
Practice Address - Country:US
Practice Address - Phone:530-541-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility