Provider Demographics
NPI:1770731085
Name:BATTEN, KIM (PHD, LLC)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:BATTEN
Suffix:
Gender:F
Credentials:PHD, LLC
Other - Prefix:
Other - First Name:NANCY-JANE
Other - Middle Name:KIM
Other - Last Name:BATTEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2018 MEDICAL CENTER PKWY
Mailing Address - Street 2:STE B #410
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3266
Mailing Address - Country:US
Mailing Address - Phone:706-288-4444
Mailing Address - Fax:
Practice Address - Street 1:1119 BRIGHTON DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-8264
Practice Address - Country:US
Practice Address - Phone:706-288-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003592103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical