Individual
THEODORE J BATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1683 ROUTE 88, BRICK, NJ 08724
(732) 840-5266
(732) 840-7840
Mailing address
1683 ROUTE 88, BRICK, NJ 08724
(732) 840-5266
(732) 840-7840
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
NJ02633
NJ
Other
Enumeration date
12/27/2006
Last updated
01/10/2012
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