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General NPI Number Information
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NPI Number | 1235515289
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Entity Type | Individual
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Provider Name | TONYA E BATTLE PSYD LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 210 N HAMMES AVE STE 103B
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City | JOLIET
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State | IL
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Zip | 60435-6688
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Country | US
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Telephone | 815-582-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 210 N HAMMES AVE STE 103B
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City | JOLIET
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State | IL
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Zip | 60435-6688
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Country | US
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Telephone | 815-582-3939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180009185
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 071010703
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License Number State | IL
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