Provider Demographics
NPI:1154544369
Name:BATTLE, ESTHER S (PHD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:S
Last Name:BATTLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:S
Other - Last Name:BATTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, INC
Mailing Address - Street 1:403 XENIA AVE
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1301
Mailing Address - Country:US
Mailing Address - Phone:937-767-7979
Mailing Address - Fax:937-767-8931
Practice Address - Street 1:403 XENIA AVE
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1301
Practice Address - Country:US
Practice Address - Phone:937-767-7979
Practice Address - Fax:937-767-8931
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1356103TC0700X, 103TC2200X, 103TF0200X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1356OtherOH PSYCHOLOGY LICENSE NO
OHBACP04271OtherTRICARE NO.
OHCPO4271Medicare ID - Type Unspecified
OH1356OtherOH PSYCHOLOGY LICENSE NO