| Doctor Name: | CARLA BATDORF |
| NPI Number: | 1598933228 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C-0600664 |
| Business Practice Address: | 96 W 4th St Minster, OH - 458651090 |
| Business Phone Number: | 4195012351 |
| Business Fax Number: | 4194695553 |
| Mailing Address: | 96 W 4th St, MINSTER |
| State: | OH |
| Postal Code: | 458651090 |
| Phone Number: | 4195012351 |
| Fax Number: | 4194695553 |
| NPI Enumeration Date: | 02/15/2008 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C-0600664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |