Provider Demographics
NPI:1992145726
Name:BATTERTON, DANELLE MARIE
Entity type:Individual
Prefix:
First Name:DANELLE
Middle Name:MARIE
Last Name:BATTERTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 E MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:MO
Mailing Address - Zip Code:63555-1437
Mailing Address - Country:US
Mailing Address - Phone:660-465-2946
Mailing Address - Fax:888-369-2720
Practice Address - Street 1:113 E MONROE ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:MO
Practice Address - Zip Code:63555-1437
Practice Address - Country:US
Practice Address - Phone:660-465-2946
Practice Address - Fax:888-369-2720
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor