Provider Demographics
NPI:1487268538
Name:DEVON BATTERSHELL MA LLP PLLC
Entity type:Organization
Organization Name:DEVON BATTERSHELL MA LLP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BATTERSHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA LLP
Authorized Official - Phone:248-635-6637
Mailing Address - Street 1:9557 TRACE HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3672
Mailing Address - Country:US
Mailing Address - Phone:248-635-6637
Mailing Address - Fax:
Practice Address - Street 1:39520 WOODWARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5057
Practice Address - Country:US
Practice Address - Phone:248-635-6637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)