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General NPI Number Information
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NPI Number | 1558023119
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Entity Type | Organization
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Legal Business Name | TONYA BATTLE
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 210 N HAMMES AVENUE STE 103
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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 | 779-242-1961
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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 | 779-242-1961
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. TONYA BATTLE
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Credential | PSYD
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Telephone | 815-582-3939
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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