MEDICARE: DR. EDWARD STEPHEN BATISTA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS000164L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013977032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD STEPHEN BATISTA PHD

Provider Business Mailing Address
First Line	:	3920 MARKET ST
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-4202
Country	:	US
Telephone Number	:	717-737-7332
Fax Number	:	717-737-2732

Provider Business Practice Location Address
First Line	:	3920 MARKET ST
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-4202
Country	:	US
Telephone Number	:	717-737-7332
Fax Number	:	717-737-2732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	05/10/2010

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