Battle, Marvin Nickleson

Battle, Marvin Nickleson is an individual health care provider with primary practice located at 7050 Chesapeake Rd Ste 104 , Hyattsville MD 20784-2345. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Battle, Marvin Nickleson can be contacted via phone (301) 660-7431.

Contact Information

Primary practice address
7050 Chesapeake Rd Ste 104 Hyattsville MD 20784-2345
Phone: (301) 660-7431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC8163 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PRC14935 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC14935 District of Columbia

Profile Details

NPI number 1598285488
LBN Legal business name Battle, Marvin Nickleson
Credentials LPC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Oct 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598285488 NPPES
Maryland MEDICAID 821004700

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