Provider Demographics
NPI:1720001845
Name:BATTERSHELL, DEVON ELIZABETH (MA, LLP)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:ELIZABETH
Last Name:BATTERSHELL
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9557 TRACE HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3672
Mailing Address - Country:US
Mailing Address - Phone:248-635-6637
Mailing Address - Fax:
Practice Address - Street 1:4111 ANDOVER RD STE 150-W
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48302-1909
Practice Address - Country:US
Practice Address - Phone:248-635-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012082103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0911419OtherBCBSM MESSA/MAGELLAN
MI5266701OtherAETNA BEHAVIORAL HEALTH
MI1705289Medicaid
MI028363OtherVALUE OPTIONS
MI130958OtherCARE CHOICES AND PREFERRE
MI258694OtherMHN PIN
MI20530OtherBCBSM SUBSTANCE ABUSE PIN
MI7509104190OtherBCBSM MENTAL HEALTH PIN
MI1063603106OtherHEALTH PLUS PIN