Provider Demographics
NPI:1912449950
Name:BATTU, DEEP KAUR (PSYD)
Entity type:Individual
Prefix:MISS
First Name:DEEP
Middle Name:KAUR
Last Name:BATTU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 N BRADFORD DR
Mailing Address - Street 2:
Mailing Address - City:DELPHI
Mailing Address - State:IN
Mailing Address - Zip Code:46923-9553
Mailing Address - Country:US
Mailing Address - Phone:765-564-2247
Mailing Address - Fax:765-564-2249
Practice Address - Street 1:1265 N BRADFORD DR
Practice Address - Street 2:
Practice Address - City:DELPHI
Practice Address - State:IN
Practice Address - Zip Code:46923-9553
Practice Address - Country:US
Practice Address - Phone:765-564-2247
Practice Address - Fax:765-564-2249
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99075950A103TC0700X
IN39004342A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical