MEDICARE: DR. HOLLY BATCHELDER 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	PY61099591	WA

General Provider Information

NPI Number	:	1275147837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY BATCHELDER PHD

Provider Business Mailing Address
First Line	:	4147 BEACH DR SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3525
Country	:	US
Telephone Number	:	650-468-0311
Fax Number	:

Provider Business Practice Location Address
First Line	:	4147 BEACH DR SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3525
Country	:	US
Telephone Number	:	650-468-0311
Fax Number	:

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

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	11/25/2024

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Directions to “ DR. HOLLY BATCHELDER PHD” Practice Location

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