Provider Demographics
NPI:1720427727
Name:BATEY, KATRINA LENORA (MASTERS DEGREE)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:LENORA
Last Name:BATEY
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:MISS
Other - First Name:KATRINA
Other - Middle Name:LENORA
Other - Last Name:TOOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6860 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-3135
Mailing Address - Country:US
Mailing Address - Phone:315-361-9065
Mailing Address - Fax:
Practice Address - Street 1:6860 CREEK RD
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-3135
Practice Address - Country:US
Practice Address - Phone:315-361-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY798191251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)