Healthcare Provider Details

I. General information

NPI: 1114859105
Provider Name (Legal Business Name): JULIE ANN BATTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 MAIN ST STE 100
WALTHAM MA
02452-5559
US

IV. Provider business mailing address

61 WRIGHT ST APT 105
STONEHAM MA
02180-3585
US

V. Phone/Fax

Practice location:
  • Phone: 833-287-7223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number223734
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: