Provider Demographics
NPI:1063401974
Name:BATY, BONNIE JEANNE (MS)
Entity type:Individual
Prefix:PROF
First Name:BONNIE
Middle Name:JEANNE
Last Name:BATY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIV OF MEDICAL GENETICS, SOM 2C412
Mailing Address - Street 2:UNIV OF UTAH HEALTH SCIENCES CTR, 50 N MEDICAL DR
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-8943
Mailing Address - Fax:801-585-7252
Practice Address - Street 1:DIV OF MEDICAL GENETICS, SOM 2C412
Practice Address - Street 2:UNIV OF UTAH HEALTH SCIENCES CTR, 50 N MEDICAL DR
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-8943
Practice Address - Fax:801-585-7252
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5085465-3601170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS