Provider Demographics
NPI:1457598799
Name:BATTY, LUCIANNE NICHOLAS (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LUCIANNE
Middle Name:NICHOLAS
Last Name:BATTY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 603
Mailing Address - Street 2:304 NORBORO RD.
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-0000
Mailing Address - Country:US
Mailing Address - Phone:518-725-1412
Mailing Address - Fax:
Practice Address - Street 1:304 NOROBORO RD
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-6105
Practice Address - Country:US
Practice Address - Phone:518-725-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008969235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist