Provider Demographics
NPI:1174587489
Name:BATTEN, SONJA VICTORIA (PHD)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:VICTORIA
Last Name:BATTEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 N GREENE ST
Mailing Address - Street 2:VAMHCS (116B)
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1524
Mailing Address - Country:US
Mailing Address - Phone:410-605-7422
Mailing Address - Fax:410-605-7771
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:VAMHCS (116B)
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7422
Practice Address - Fax:410-605-7771
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002421103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical