Provider Demographics
NPI:1649465113
Name:BATTIEST, DEBORAH JAN (NAMP, LADC W/SUPERVI)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JAN
Last Name:BATTIEST
Suffix:
Gender:F
Credentials:NAMP, LADC W/SUPERVI
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JAN
Other - Last Name:THOMASI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NAMP
Mailing Address - Street 1:4913 W RENO AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-6339
Mailing Address - Country:US
Mailing Address - Phone:405-948-4900
Mailing Address - Fax:405-948-0670
Practice Address - Street 1:4913 W RENO AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-6339
Practice Address - Country:US
Practice Address - Phone:405-948-4900
Practice Address - Fax:405-948-0670
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK02036103TC1900X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK02036OtherNAMP