Provider Demographics
NPI:1629281308
Name:BATSON, MARGARET JUDITH
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JUDITH
Last Name:BATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:BATSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:55 AUSTIN PL APT 1G
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2152
Mailing Address - Country:US
Mailing Address - Phone:718-524-4586
Mailing Address - Fax:
Practice Address - Street 1:55 AUSTIN PL APT 1G
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2152
Practice Address - Country:US
Practice Address - Phone:718-524-4586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool