Provider Demographics
NPI:1013632231
Name:BATALLA, DIANNA (PSYD)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:
Last Name:BATALLA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DIANNA
Other - Middle Name:
Other - Last Name:BATALLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:30 S MAPLE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2002
Mailing Address - Country:US
Mailing Address - Phone:516-225-7043
Mailing Address - Fax:
Practice Address - Street 1:30 S MAPLE AVE STE 203
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2002
Practice Address - Country:US
Practice Address - Phone:516-225-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist