Organization
JOHN BATKA PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BATKA PHD (PSYCHOLOGIST)
(850) 883-8373
Entity
Organization
Contact information
Practice address
1711 W GORE BLVD, SUITE C, LAWTON, OK 73501-3638
(580) 695-0639
(580) 353-4357
Mailing address
1711 W GORE BLVD, SUITE C, LAWTON, OK 73501-3638
(580) 695-0639
(580) 353-4357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
910
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200078020A
—
OK
Enumeration date
06/06/2006
Last updated
04/22/2011
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