Healthcare Provider Details

I. General information

NPI: 1629301742
Provider Name (Legal Business Name): LAMAR JOSEF BATISTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 AMHERST ROAD PELHAM ELEMENTARY SCHOOL
PELHAM MA
01002
US

IV. Provider business mailing address

87 SILVER ST
GREENFIELD MA
01301-1221
US

V. Phone/Fax

Practice location:
  • Phone: 413-362-1104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number119519
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: