Bettauer, Evelyn Constance

Bettauer, Evelyn Constance is an individual health care provider with primary practice located at 1800 Silas Deane Hwy Ste 166, Rocky Hill CT 06067-1327. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bettauer, Evelyn Constance can be contacted via phone (860) 529-7006.

Contact Information

Primary practice address
1800 Silas Deane Hwy Ste 166 Rocky Hill CT 06067-1327
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 978 Connecticut

Profile Details

NPI number 1437143799
LBN Legal business name Bettauer, Evelyn Constance
Credentials PSYCHOLOGIST, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1437143799 NPPES
Connecticut MEDICAID 4063178

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