Doctor Name: | MRS. SHARON DIANE BAGG BATTISTI |
NPI Number: | 1023392768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 06798 |
Business Practice Address: | 11 Academy St Windsor, NY - 138654037 |
Business Phone Number: | 6077607611 |
Business Fax Number: | 6075332504 |
Mailing Address: | 11 Academy St, WINDSOR |
State: | NY |
Postal Code: | 138654037 |
Phone Number: | 6077607611 |
Fax Number: | 6075332504 |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 06798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |