Provider Demographics
NPI:1386767531
Name:BATCHELDER, RAYANN C (MED, LADC1)
Entity type:Individual
Prefix:MS
First Name:RAYANN
Middle Name:C
Last Name:BATCHELDER
Suffix:
Gender:F
Credentials:MED, LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 UNIVERSITY RD APT 414
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5760
Mailing Address - Country:US
Mailing Address - Phone:617-876-6744
Mailing Address - Fax:
Practice Address - Street 1:99 TOPEKA ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2717
Practice Address - Country:US
Practice Address - Phone:617-442-1499
Practice Address - Fax:617-442-1660
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1901101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)