Provider Demographics
NPI:1851747257
Name:BATTEN, MAIRIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAIRIN
Middle Name:
Last Name:BATTEN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MAIRIN
Other - Middle Name:
Other - Last Name:MELTVEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1160 1ST ST NE
Mailing Address - Street 2:APT. 409
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4696
Mailing Address - Country:US
Mailing Address - Phone:916-765-9672
Mailing Address - Fax:
Practice Address - Street 1:4500 FORBES BLVD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6312
Practice Address - Country:US
Practice Address - Phone:202-635-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist