Provider Demographics
NPI:1639329865
Name:BATTINELLI, ELIZABETH LANES (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LANES
Last Name:BATTINELLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WERNIK PL
Mailing Address - Street 2:SUITE C
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2468
Mailing Address - Country:US
Mailing Address - Phone:732-548-0970
Mailing Address - Fax:732-549-1505
Practice Address - Street 1:24 WERNIK PL
Practice Address - Street 2:SUITE C
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2468
Practice Address - Country:US
Practice Address - Phone:732-548-0970
Practice Address - Fax:732-549-1505
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ063709103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical