Provider Demographics
NPI:1780900613
Name:BATTISTI, ROSE MARIE (BS,LMFT ,CT)
Entity type:Individual
Prefix:MS
First Name:ROSE MARIE
Middle Name:
Last Name:BATTISTI
Suffix:
Gender:F
Credentials:BS,LMFT ,CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E GANSEVOORT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-1416
Mailing Address - Country:US
Mailing Address - Phone:315-868-7956
Mailing Address - Fax:
Practice Address - Street 1:500 E GANSEVOORT ST
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NY
Practice Address - Zip Code:13365-1416
Practice Address - Country:US
Practice Address - Phone:315-868-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001008-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist