Doctor Name: | MRS. LEE BATHA |
NPI Number: | 1013392638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TLMHC |
License Number: | 077471 |
Business Practice Address: | 3110 Clermont Dr Muscatine, IA - 527612349 |
Business Phone Number: | 5632606142 |
Business Fax Number: | |
Mailing Address: | 3110 Clermont Dr, MUSCATINE |
State: | IA |
Postal Code: | 527612349 |
Phone Number: | 5632606142 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2015 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 077471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |