Provider Demographics
NPI:1689953507
Name:BATKIN, PAUL DAVID (LMFT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:BATKIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 JAMES ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2039
Mailing Address - Country:US
Mailing Address - Phone:315-466-9889
Mailing Address - Fax:315-802-2893
Practice Address - Street 1:731 JAMES ST
Practice Address - Street 2:SUITE 430
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2039
Practice Address - Country:US
Practice Address - Phone:315-466-9889
Practice Address - Fax:315-802-2893
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist